Provider Demographics
NPI:1053657148
Name:ELITE CARE, INC.
Entity Type:Organization
Organization Name:ELITE CARE, INC.
Other - Org Name:ELITE CARE AT HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER AND ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDREWS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:970-208-8359
Mailing Address - Street 1:715 HORIZON DR STE 390
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81506-8700
Mailing Address - Country:US
Mailing Address - Phone:970-208-8359
Mailing Address - Fax:970-208-8360
Practice Address - Street 1:715 HORIZON DR STE 390
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81506-8700
Practice Address - Country:US
Practice Address - Phone:970-208-8359
Practice Address - Fax:970-208-8360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-18
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO04L583251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
067511Medicare PIN