Organization · NPI-2

Elite Lux Enterprises LLC

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · Ocala, FL

NPI number1295655504

StatusActive

Last updated in NPPESJul 29, 2026

Details

NPI: 1295655504
Entity type: Organization (NPI-2)
Legal business name: Elite Lux Enterprises LLC
Organization subpart: No
Enumeration date: Jul 16, 2026
Certification date: Jul 29, 2026
Last updated: Jul 29, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	–	–	Yes
343900000X	Non-emergency Medical Transport (VAN)	–	–

Other names

Evergreen Cares (Doing Business As)

Practice location

13084 Sw 78th Cir
Ocala, FL 34473-4909

Phone 321-888-7364 · Fax 877-781-5069

Mailing address

Po Box 681286
Orlando, FL 32868-1286

Authorized official

Shakera Freeman
President
3218887364

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