NPI 1912884321 · live from the CMS NPI Registry
Elite Care Health Group
Registered Nurse, Home Health in Gulfport, MS. National Provider Identifier 1912884321, active.
NPI record
| NPI | 1912884321 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Home Health 163WH0200X |
| Practice location | 839b 28th St, Gulfport, MS 39501 |
| Practice phone | 228-596-5911 |
| Enumerated | August 18, 2025 |
| Last updated | August 18, 2025 |
| Authorized official | Misty Stevenson, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| In Home Supportive Care | 253Z00000X | — |
| Hospice Care, Community Based | 251G00000X | — |
| Nursing Care | 251J00000X | — |
| Registered Nurse, Home Health primary | 163WH0200X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.