Provider Demographics
NPI:1033888474
Name:ELI HOME CARE LLC
Entity Type:Organization
Organization Name:ELI HOME CARE LLC
Other - Org Name:ELI HOME CARE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SINZINKAYO
Authorized Official - Middle Name:
Authorized Official - Last Name:ELI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-323-9002
Mailing Address - Street 1:707 W 11TH ST
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57104-3528
Mailing Address - Country:US
Mailing Address - Phone:605-323-9002
Mailing Address - Fax:
Practice Address - Street 1:4329 N ALASKA AVE
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57107-6825
Practice Address - Country:US
Practice Address - Phone:605-323-9002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-09
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health