Provider Demographics
NPI:1194826461
Name:HOME CARE ELITE, LLC
Entity Type:Organization
Organization Name:HOME CARE ELITE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING
Authorized Official - Prefix:MRS
Authorized Official - First Name:TANGEE
Authorized Official - Middle Name:RENEE'
Authorized Official - Last Name:MAYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-724-2533
Mailing Address - Street 1:2300 HIGHWAY 365
Mailing Address - Street 2:STE. 130
Mailing Address - City:NEDERLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77627-6256
Mailing Address - Country:US
Mailing Address - Phone:409-724-2533
Mailing Address - Fax:409-726-2624
Practice Address - Street 1:2300 HIGHWAY 365
Practice Address - Street 2:STE. 130
Practice Address - City:NEDERLAND
Practice Address - State:TX
Practice Address - Zip Code:77627-6256
Practice Address - Country:US
Practice Address - Phone:409-724-2533
Practice Address - Fax:409-726-2624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010296251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX677964Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER