Provider Demographics
NPI:1811523368
Name:THE ELITE ALF AT NAPLES LLC
Entity type:Organization
Organization Name:THE ELITE ALF AT NAPLES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:HERSHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BODANSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-580-5550
Mailing Address - Street 1:1155 ENCORE WAY
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110-9172
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1155 ENCORE WAY
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-9172
Practice Address - Country:US
Practice Address - Phone:239-598-1368
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-17
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility