Provider Demographics
NPI:1255694535
Name:ELITE CARE HOME HEALTH LLC
Entity Type:Organization
Organization Name:ELITE CARE HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/DIRECTOR OF NURSING
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSEMINDA
Authorized Official - Middle Name:DE CHAVEZ
Authorized Official - Last Name:MONTERO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:702-979-9060
Mailing Address - Street 1:5024 ALTA DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89107-3927
Mailing Address - Country:US
Mailing Address - Phone:702-979-9060
Mailing Address - Fax:702-979-9820
Practice Address - Street 1:5024 ALTA DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89107-3927
Practice Address - Country:US
Practice Address - Phone:702-979-9060
Practice Address - Fax:702-979-9820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-21
Last Update Date:2023-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV7389HHA-0251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health