Provider Demographics
NPI:1124425657
Name:ELS SENIOR SERVICES, LLC
Entity type:Organization
Organization Name:ELS SENIOR SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:STEEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-905-3428
Mailing Address - Street 1:2734 CHANCELLOR DR
Mailing Address - Street 2:SUITE 203A
Mailing Address - City:CRESTVIEW HILLS
Mailing Address - State:KY
Mailing Address - Zip Code:41017-3487
Mailing Address - Country:US
Mailing Address - Phone:859-905-3430
Mailing Address - Fax:
Practice Address - Street 1:2734 CHANCELLOR DR
Practice Address - Street 2:SUITE 203A
Practice Address - City:CRESTVIEW HILLS
Practice Address - State:KY
Practice Address - Zip Code:41017-3487
Practice Address - Country:US
Practice Address - Phone:859-905-3430
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-26
Last Update Date:2014-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY500155251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health