Provider Demographics
NPI:1235848946
Name:ELITE HOUSECALLS LLC
Entity Type:Organization
Organization Name:ELITE HOUSECALLS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BALDWIN
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:270-484-9984
Mailing Address - Street 1:2680 MASONVILLE BEVERLY RD
Mailing Address - Street 2:
Mailing Address - City:HOPKINSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42240-9394
Mailing Address - Country:US
Mailing Address - Phone:270-484-9984
Mailing Address - Fax:270-569-3256
Practice Address - Street 1:2680 MASONVILLE BEVERLY RD
Practice Address - Street 2:
Practice Address - City:HOPKINSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42240-9394
Practice Address - Country:US
Practice Address - Phone:270-484-9984
Practice Address - Fax:270-569-3256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-21
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty