Provider Demographics
NPI:1154659902
Name:ELS SERVICES, LLC
Entity Type:Organization
Organization Name:ELS SERVICES, LLC
Other - Org Name:HOMEWELL SENIOR CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LIZA
Authorized Official - Middle Name:
Authorized Official - Last Name:COZAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-599-4333
Mailing Address - Street 1:300 PROFESSIONAL CENTER DR
Mailing Address - Street 2:324
Mailing Address - City:NOVATO
Mailing Address - State:CA
Mailing Address - Zip Code:94947-4334
Mailing Address - Country:US
Mailing Address - Phone:415-599-4333
Mailing Address - Fax:
Practice Address - Street 1:300 PROFESSIONAL CENTER DR
Practice Address - Street 2:324
Practice Address - City:NOVATO
Practice Address - State:CA
Practice Address - Zip Code:94947-4334
Practice Address - Country:US
Practice Address - Phone:415-599-4333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-04
Last Update Date:2009-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care