Provider Demographics
| NPI: | 1538743232 |
|---|---|
| Name: | ELITE HOME CARE SERVICES LLC |
| Entity type: | Organization |
| Organization Name: | ELITE HOME CARE SERVICES LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CEO |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | GENEVA |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | VILCU |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 480-378-7050 |
| Mailing Address - Street 1: | 4659 S LAKESHORE DR STE G |
| Mailing Address - Street 2: | |
| Mailing Address - City: | TEMPE |
| Mailing Address - State: | AZ |
| Mailing Address - Zip Code: | 85282-7150 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 480-378-7050 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 4659 S LAKESHORE DR STE G |
| Practice Address - Street 2: | |
| Practice Address - City: | TEMPE |
| Practice Address - State: | AZ |
| Practice Address - Zip Code: | 85282-7150 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 480-378-7050 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2021-05-09 |
| Last Update Date: | 2024-05-20 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 251E00000X | Agencies | Home Health | ||
| No | 251B00000X | Agencies | Case Management | ||
| No | 251C00000X | Agencies | Day Training, Developmentally Disabled Services | ||
| No | 251G00000X | Agencies | Hospice Care, Community Based | ||
| No | 252Y00000X | Agencies | Early Intervention Provider Agency | ||
| No | 253J00000X | Agencies | Foster Care Agency | ||
| No | 253Z00000X | Agencies | In Home Supportive Care | ||
| No | 261QA3000X | Ambulatory Health Care Facilities | Clinic/Center | Augmentative Communication | |
| No | 261QD1600X | Ambulatory Health Care Facilities | Clinic/Center | Developmental Disabilities | |
| No | 310400000X | Nursing & Custodial Care Facilities | Assisted Living Facility | Group - Single Specialty | |
| No | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | ||
| No | 374U00000X | Nursing Service Related Providers | Home Health Aide | Group - Single Specialty | |
| No | 385HR2060X | Respite Care Facility | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities, Child | Group - Single Specialty |
| No | 385HR2065X | Respite Care Facility | Respite Care | Respite Care, Physical Disabilities, Child |
