Provider Demographics
NPI:1437606191
Name:ELITE HOME CARE SERVICE
Entity Type:Organization
Organization Name:ELITE HOME CARE SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLIENT CARE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:LINN
Authorized Official - Last Name:MCKEONE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:734-497-1844
Mailing Address - Street 1:212 CASS ST
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:MI
Mailing Address - Zip Code:48161-2312
Mailing Address - Country:US
Mailing Address - Phone:734-497-1844
Mailing Address - Fax:
Practice Address - Street 1:212 CASS ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:MI
Practice Address - Zip Code:48161-2312
Practice Address - Country:US
Practice Address - Phone:734-497-1844
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-09
Last Update Date:2016-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health