Provider Demographics
NPI:1073100244
Name:ELITE HOSPICE & PALLIATIVE CARE, INC.
Entity Type:Organization
Organization Name:ELITE HOSPICE & PALLIATIVE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GORDHAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-481-0998
Mailing Address - Street 1:8400 MAPLE PL STE 109
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-3874
Mailing Address - Country:US
Mailing Address - Phone:909-481-0998
Mailing Address - Fax:909-484-4271
Practice Address - Street 1:8400 MAPLE PL STE 109
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-3874
Practice Address - Country:US
Practice Address - Phone:909-481-0998
Practice Address - Fax:909-484-4271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-22
Last Update Date:2020-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based