Provider Demographics
NPI:1326457870
Name:ELITE INTERNATIONAL LLC
Entity Type:Organization
Organization Name:ELITE INTERNATIONAL LLC
Other - Org Name:ELITE HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OLEG
Authorized Official - Middle Name:
Authorized Official - Last Name:ZELENKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-957-2002
Mailing Address - Street 1:14040 NE 8TH ST
Mailing Address - Street 2:STE 101
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98007-4122
Mailing Address - Country:US
Mailing Address - Phone:425-957-2002
Mailing Address - Fax:425-957-0919
Practice Address - Street 1:14040 NE 8TH ST
Practice Address - Street 2:STE 101
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98007-4122
Practice Address - Country:US
Practice Address - Phone:425-957-2002
Practice Address - Fax:425-957-0919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-08
Last Update Date:2014-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAIHS.FS.00000276253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care