Provider Demographics
NPI:1962268862
Name:ELITE CARE HOME HEALTH AGENCY LLC
Entity type:Organization
Organization Name:ELITE CARE HOME HEALTH AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:AUGUSTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-205-1989
Mailing Address - Street 1:7130 S ORANGE BLOSSOM TRL STE 148
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32809-5763
Mailing Address - Country:US
Mailing Address - Phone:407-205-1989
Mailing Address - Fax:
Practice Address - Street 1:7130 S ORANGE BLOSSOM TRL STE 148
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32809-5763
Practice Address - Country:US
Practice Address - Phone:407-205-1989
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-27
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services