Provider Demographics
NPI:1427454883
Name:ELITTE HEALTHCARE AND SERVICE
Entity type:Organization
Organization Name:ELITTE HEALTHCARE AND SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:OKORIE
Authorized Official - Middle Name:UWAKWE
Authorized Official - Last Name:OKO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:713-776-9399
Mailing Address - Street 1:9888 BISSONNET ST
Mailing Address - Street 2:SUITE 100F
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8247
Mailing Address - Country:US
Mailing Address - Phone:713-776-9399
Mailing Address - Fax:713-776-3994
Practice Address - Street 1:9888 BISSONNET ST
Practice Address - Street 2:SUITE 100F
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8247
Practice Address - Country:US
Practice Address - Phone:713-776-9399
Practice Address - Fax:713-776-3994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-13
Last Update Date:2015-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009581251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health