Provider Demographics
NPI:1366272817
Name:ELECT HOMECARE SERVICES
Entity type:Organization
Organization Name:ELECT HOMECARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:ABAYOMI
Authorized Official - Last Name:EKUNDAYO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-965-8357
Mailing Address - Street 1:4164 MISSION DR APT C
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46254-3435
Mailing Address - Country:US
Mailing Address - Phone:281-965-8357
Mailing Address - Fax:
Practice Address - Street 1:4164 MISSION DR APT C
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46254-3435
Practice Address - Country:US
Practice Address - Phone:281-965-8357
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ELECT GLOBAL LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-08-07
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health