Provider Demographics
NPI:1306689922
Name:ELITE CAREGIVERS HOME HEALTH LLC
Entity type:Organization
Organization Name:ELITE CAREGIVERS HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSA
Authorized Official - Middle Name:EUGENIA
Authorized Official - Last Name:GARRIDO VERGARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-470-2001
Mailing Address - Street 1:4850 TAMIAMI TRL N UNIT 301
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34103-3034
Mailing Address - Country:US
Mailing Address - Phone:239-920-8040
Mailing Address - Fax:239-203-2040
Practice Address - Street 1:4850 TAMIAMI TRL N UNIT 301
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34103-3034
Practice Address - Country:US
Practice Address - Phone:239-920-8040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-13
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health