Provider Demographics
NPI:1225101579
Name:ELITE HOME HEALTH CARE, INC
Entity Type:Organization
Organization Name:ELITE HOME HEALTH CARE, INC
Other - Org Name:ELITE HOME HEALTHCARE, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:IRENE
Authorized Official - Middle Name:R
Authorized Official - Last Name:TUTTLE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:941-266-8036
Mailing Address - Street 1:441 S MAIN ST STE 3
Mailing Address - Street 2:
Mailing Address - City:STANDISH
Mailing Address - State:MI
Mailing Address - Zip Code:48658-9480
Mailing Address - Country:US
Mailing Address - Phone:989-846-2222
Mailing Address - Fax:989-846-4556
Practice Address - Street 1:441 S MAIN ST STE 3
Practice Address - Street 2:
Practice Address - City:STANDISH
Practice Address - State:MI
Practice Address - Zip Code:48658-9480
Practice Address - Country:US
Practice Address - Phone:989-846-2222
Practice Address - Fax:989-846-4556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2019-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI237541Medicare ID - Type Unspecified
MI1225101579Medicare NSC