Provider Demographics
NPI:1932933694
Name:ELITE HARMONY HOME HEALTH CARE SERVICES LLC
Entity type:Organization
Organization Name:ELITE HARMONY HOME HEALTH CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DARIUS
Authorized Official - Middle Name:
Authorized Official - Last Name:TILLERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-977-6615
Mailing Address - Street 1:150 W BRAMBLETON AVE APT 513
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23510-2056
Mailing Address - Country:US
Mailing Address - Phone:757-977-6615
Mailing Address - Fax:
Practice Address - Street 1:150 W BRAMBLETON AVE APT 513
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23510-2056
Practice Address - Country:US
Practice Address - Phone:757-977-6615
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-27
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty