Provider Demographics
NPI:1063077592
Name:ELSA HOME CARE INC
Entity type:Organization
Organization Name:ELSA HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:VILMA
Authorized Official - Middle Name:
Authorized Official - Last Name:AFANTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-331-0100
Mailing Address - Street 1:2770 S MARYLAND PKWY STE 512A
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89109-1568
Mailing Address - Country:US
Mailing Address - Phone:702-331-0100
Mailing Address - Fax:
Practice Address - Street 1:2770 S MARYLAND PKWY STE 512A
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89109-1568
Practice Address - Country:US
Practice Address - Phone:702-331-0100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-09
Last Update Date:2019-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty