Provider Demographics
NPI:1407514821
Name:ELITE HEALTH CARE OPTIONS LLC
Entity Type:Organization
Organization Name:ELITE HEALTH CARE OPTIONS LLC
Other - Org Name:ELITE HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAKEDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-390-0318
Mailing Address - Street 1:1906 S COMMERCENTER EAST
Mailing Address - Street 2:STE 202
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92408-3424
Mailing Address - Country:US
Mailing Address - Phone:909-567-2097
Mailing Address - Fax:
Practice Address - Street 1:1906 S COMMERCENTER E
Practice Address - Street 2:STE 202
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92408-3424
Practice Address - Country:US
Practice Address - Phone:909-567-2097
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-02
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health