Provider Demographics
NPI:1275318909
Name:ELITE CARE LLC
Entity Type:Organization
Organization Name:ELITE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FAIZA
Authorized Official - Middle Name:OMAR
Authorized Official - Last Name:KAHIN
Authorized Official - Suffix:
Authorized Official - Credentials:MANAGER
Authorized Official - Phone:571-251-4602
Mailing Address - Street 1:4916 CASIMIR ST
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-5137
Mailing Address - Country:US
Mailing Address - Phone:571-251-4602
Mailing Address - Fax:
Practice Address - Street 1:4916 CASIMIR ST
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-5137
Practice Address - Country:US
Practice Address - Phone:571-251-4602
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-30
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services