Provider Demographics
NPI:1033736046
Name:ELITE EMBRACE HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:ELITE EMBRACE HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LATASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:KENNARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-292-8343
Mailing Address - Street 1:4620 BEECHNUT ST APT 101
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-1814
Mailing Address - Country:US
Mailing Address - Phone:337-292-8343
Mailing Address - Fax:
Practice Address - Street 1:4620 BEECHNUT ST APT 101
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-1814
Practice Address - Country:US
Practice Address - Phone:337-292-8343
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-26
Last Update Date:2020-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health