Provider Demographics
NPI:1164819959
Name:ELITE HOME HEALTH CARE IBC
Entity Type:Organization
Organization Name:ELITE HOME HEALTH CARE IBC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O
Authorized Official - Prefix:
Authorized Official - First Name:ALETA
Authorized Official - Middle Name:BREK
Authorized Official - Last Name:RICHARDS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:205-928-4442
Mailing Address - Street 1:4503 TREE CROSSINGS PKWY
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244-5007
Mailing Address - Country:US
Mailing Address - Phone:205-928-4442
Mailing Address - Fax:205-278-6828
Practice Address - Street 1:4503 TREE CROSSINGS PKWY
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-5007
Practice Address - Country:US
Practice Address - Phone:205-928-4442
Practice Address - Fax:205-278-6828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-20
Last Update Date:2015-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities