Provider Demographics
NPI:1588973747
Name:ELITE CARE AT HOME OF BROWARD, INC.
Entity type:Organization
Organization Name:ELITE CARE AT HOME OF BROWARD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:XIOMARA
Authorized Official - Middle Name:
Authorized Official - Last Name:UMANA-ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-513-5710
Mailing Address - Street 1:12505 ORANGE DR
Mailing Address - Street 2:SUITE 904
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33330-4300
Mailing Address - Country:US
Mailing Address - Phone:305-231-0555
Mailing Address - Fax:305-402-7778
Practice Address - Street 1:12505 ORANGE DR
Practice Address - Street 2:SUITE 904
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33330-4300
Practice Address - Country:US
Practice Address - Phone:305-231-0555
Practice Address - Fax:305-402-7778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-05
Last Update Date:2010-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care