Provider Demographics
NPI:1083218473
Name:HOMECARE BY ELLE, INC.
Entity Type:Organization
Organization Name:HOMECARE BY ELLE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RITA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-718-7498
Mailing Address - Street 1:4741 ARMOUR RD STE A
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904-5092
Mailing Address - Country:US
Mailing Address - Phone:706-610-6984
Mailing Address - Fax:706-610-7477
Practice Address - Street 1:4741 ARMOUR RD STE A
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-5092
Practice Address - Country:US
Practice Address - Phone:706-610-6984
Practice Address - Fax:706-610-7477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-25
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care