Provider Demographics
NPI:1174045546
Name:ELIFE HOME CARE
Entity Type:Organization
Organization Name:ELIFE HOME CARE
Other - Org Name:GOUCS HEALTHCARE SERVICES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LAQUITA
Authorized Official - Middle Name:
Authorized Official - Last Name:MASON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-614-3020
Mailing Address - Street 1:1403 ORCHID DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-3297
Mailing Address - Country:US
Mailing Address - Phone:713-791-3588
Mailing Address - Fax:
Practice Address - Street 1:13503 SEDGEFIELD CREEK TRCE
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-7729
Practice Address - Country:US
Practice Address - Phone:832-614-3029
Practice Address - Fax:888-892-1961
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-07
Last Update Date:2024-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty