Provider Demographics
NPI:1154986479
Name:ELP RIGHT LIVING HEALTH LLC
Entity type:Organization
Organization Name:ELP RIGHT LIVING HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIEF OPERATIONS OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:PHOEBE
Authorized Official - Middle Name:NANCY
Authorized Official - Last Name:NAMULUTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-401-5101
Mailing Address - Street 1:3035 EAGANDALE PL #101
Mailing Address - Street 2:
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55121
Mailing Address - Country:US
Mailing Address - Phone:818-401-5101
Mailing Address - Fax:651-454-5383
Practice Address - Street 1:3035 EAGANDALE PL #101
Practice Address - Street 2:
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55121
Practice Address - Country:US
Practice Address - Phone:818-401-5101
Practice Address - Fax:651-454-5383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-02
Last Update Date:2019-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No347C00000XTransportation ServicesPrivate VehicleGroup - Single Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN5982619OtherMN TAX ID