Organization
ELITE HOME CARE
Active
Other names
Elite Day Center of Spartanburg
Organization subpart
No
Provider details
NPI number
Authorized official
GWEN PAINTER (ADMINISTRATOR)
(864) 529-9849
Entity
Organization
Contact information
Practice address
2000 BUD ARTHUR BRIDGE RD, SPARTANBURG, SC 29307-4417
(864) 642-1916
(704) 919-5011
Mailing address
PO BOX 1181, SPARTANBURG, SC 29304-1181
(864) 529-8426
(704) 919-5011
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
ADC-0406
SC
261QA0600X
Adult Day Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EN0858
—
SC
05
—
EN1492
—
SC
05
—
EN1788
—
SC
05
—
EX0533
—
SC
05
—
EX1348
—
SC
05
—
EX1507
—
SC
05
—
EX1716
—
SC
05
—
EX1827
—
SC
05
—
EX1828
—
SC
05
—
EX2036
—
SC
05
—
EY1000
—
SC
05
—
EY1008
—
SC
Enumeration date
06/23/2016
Last updated
09/19/2022
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