Provider Demographics
NPI:1275859837
Name:ELITE CARE AT HOME OF PALM BEACH INC
Entity Type:Organization
Organization Name:ELITE CARE AT HOME OF PALM BEACH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DANTE
Authorized Official - Middle Name:
Authorized Official - Last Name:VALDIVIESO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-213-5353
Mailing Address - Street 1:1801 S FEDERAL HWY STE 220
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33483-3334
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1801 S FEDERAL HWY STE 220
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33483-3334
Practice Address - Country:US
Practice Address - Phone:305-213-5353
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-07
Last Update Date:2010-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care