Provider Demographics
NPI:1285019745
Name:ELITE CARE AND STAFFING SERVICES.LLC
Entity Type:Organization
Organization Name:ELITE CARE AND STAFFING SERVICES.LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:OLIVE
Authorized Official - Middle Name:F
Authorized Official - Last Name:BAIMBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-294-6612
Mailing Address - Street 1:1 INTERNATIONAL PLZ
Mailing Address - Street 2:SUITE 550
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19113-1510
Mailing Address - Country:US
Mailing Address - Phone:267-294-6612
Mailing Address - Fax:
Practice Address - Street 1:6754 MARKET ST
Practice Address - Street 2:2ND FLOOR WEST
Practice Address - City:UPPER DARBY
Practice Address - State:PA
Practice Address - Zip Code:19082-2432
Practice Address - Country:US
Practice Address - Phone:267-294-6612
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-27
Last Update Date:2015-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA28023601251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health