Provider Demographics
NPI:1245741545
Name:ELABORATE HOME HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:ELABORATE HOME HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:EYEGUE-SANDY
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, CRNP
Authorized Official - Phone:215-594-9392
Mailing Address - Street 1:223 SCOTTDALE RD APT B209
Mailing Address - Street 2:
Mailing Address - City:LANSDOWNE
Mailing Address - State:PA
Mailing Address - Zip Code:19050-2372
Mailing Address - Country:US
Mailing Address - Phone:215-594-9392
Mailing Address - Fax:
Practice Address - Street 1:444 WESTMONT DR
Practice Address - Street 2:
Practice Address - City:COLLINGDALE
Practice Address - State:PA
Practice Address - Zip Code:19023
Practice Address - Country:US
Practice Address - Phone:215-594-9392
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-13
Last Update Date:2019-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities