Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ELITE CARE SERVICE
NPI 1417135500
Community/Behavioral Health in Fayetteville, NC

Active since January 31, 2008
111 LAMON ST, SUITE 100, FAYETTEVILLE, NC 28301(910) 483-0324(910) 483-2246 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 22, 2026, Jun 10, 2024, May 20, 2022 (3 updates tracked since 2022).

About Elite Care Service NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELITE CARE SERVICE (NPI 1417135500) is a healthcare organization registered as a community/behavioral health in Fayetteville, North Carolina and active in the NPI registry since January 2008. The organization lists James Frederick, Ceo, as its authorized official.

NPPES Registry Identity

NPI1417135500
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameELITE CARE SERVICE
Location Address111 LAMON ST, SUITE 100Fayetteville, NC 28301-4901
Mailing Address111 Lamon St Ste 100Fayetteville, NC 28301-4917 · (910) 483-0324 · Fax (910) 483-2246
Fax(910) 483-2246
Organization SubpartNo
Authorized OfficialJames FrederickCeo · (910) 483-0324
Enumeration DateJanuary 31, 2008
Last NPPES UpdateJuly 22, 20263 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
NPI 1417135500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedDevelopmental TherapistTaxonomy 222Q00000X
Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X · License MHL-026-857 (NC)
111 LAMON ST, Fayetteville, NC 28301

Other Identifiers 1

Medicaid00112912NC

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatric Residential Treatment Facility
111 LAMON ST
FAYETTEVILLE, NC 28301
Community/Behavioral Health
111 LAMON ST
FAYETTEVILLE, NC 28301
Technician (Personal Care Attendant)
111 LAMON ST, SUITE 101
FAYETTEVILLE, NC 28301
Community/Behavioral Health
111 LAMON ST, SUITE 212
FAYETTEVILLE, NC 28301
Community/Behavioral Health
111 LAMON ST, SUITE 110B
FAYETTEVILLE, NC 28301
In Home Supportive Care
111 LAMON ST
FAYETTEVILLE, NC 28301
Case Management
111 LAMON ST, SUITE 214
FAYETTEVILLE, NC 28301
Social Worker (Clinical)
111 LAMON ST, SUITE 212
FAYETTEVILLE, NC 28301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elite Care Service's NPI number?

The NPI number for Elite Care Service is 1417135500. It was assigned to this organization in the NPPES registry on January 31, 2008.

Where is Elite Care Service located?

Elite Care Service is located at 111 Lamon St Suite 100, Fayetteville, NC 28301. The listed phone number is (910) 483-0324.

What is Elite Care Service's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Elite Care Service was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.