Provider Demographics
NPI:1033386511
Name:ELITE HOME CARE INC
Entity Type:Organization
Organization Name:ELITE HOME CARE INC
Other - Org Name:ELITE HOME CARE INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RASMIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ODEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-652-4654
Mailing Address - Street 1:850 STEPHENSON HWY
Mailing Address - Street 2:SUITE 304
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-1152
Mailing Address - Country:US
Mailing Address - Phone:734-652-4654
Mailing Address - Fax:734-225-4644
Practice Address - Street 1:850 STEPHENSON HIGHWAY
Practice Address - Street 2:SUITE 304
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48083-1102
Practice Address - Country:US
Practice Address - Phone:734-652-4654
Practice Address - Fax:734-225-4644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-13
Last Update Date:2008-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health