Active NPIOrganization

Elite Group Health Services LLC

Nurse Practitioner, Family in Randolph, Massachusetts

NPI Number1053096677
Practice location
950 N Main St, Randolph, MA 02368-3064
Fax
—
Last updated
June 20, 2023

Elite Group Health Services LLC is a healthcare organization based in Randolph, MA. Elite Group Health Services LLC practices in Randolph, MA. The NPI Number for Elite Group Health Services LLC is 1053096677. The current practice location address for Elite Group Health Services LLC is 950 N Main St, Randolph, MA 02368-3064 and can be reached out via phone at 413-543-6820.

Provider Profile Details

NPI Number
1053096677
Provider Name
Elite Group Health Services LLC
Provider Entity Type
Organization
Address
950 N Main St, Randolph, MA 02368-3064
Phone Number
413-543-6820
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Organization Subpart
No
Authorized Official
Maboh Achiri, NP · Owner · 413-543-6820
Provider Enumeration Date
June 20, 2023
Last Update Date
June 20, 2023
Certification Date
June 20, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
950 N Main St
Randolph, MA 02368-3064
Zip
02368-3064
Phone Number
413-543-6820
Randolph, MA 02368Get directions →

Provider Business Mailing Address Details

Address
37 First St
Brockton, MA 02301-6419
City
Brockton
State
MA
Zip
02301-6419
Phone Number
413-543-6820

License Information

Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Elite Group Health Services LLC?

The NPI number of Elite Group Health Services LLC is 1053096677. It was assigned on June 20, 2023 and is currently active in the NPPES registry.

What is the specialty of Elite Group Health Services LLC?

Elite Group Health Services LLC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X).

Where does Elite Group Health Services LLC practice?

The practice location is 950 N Main St, Randolph, MA 02368-3064. The office can be reached at 413-543-6820 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053096677 directly on the NPPES registry website.

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