Provider Demographics
NPI:1336702000
Name:ELITE QUALITY SERVICES, LLC
Entity Type:Organization
Organization Name:ELITE QUALITY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:MUNA
Authorized Official - Middle Name:MOHAMED
Authorized Official - Last Name:JAMA
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:952-465-1522
Mailing Address - Street 1:3555 MAIN ST NE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55418-1144
Mailing Address - Country:US
Mailing Address - Phone:952-465-1522
Mailing Address - Fax:
Practice Address - Street 1:3555 MAIN ST NE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55418-1144
Practice Address - Country:US
Practice Address - Phone:952-465-1522
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ELITE QUALITY SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-04-18
Last Update Date:2019-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based