Provider Demographics
NPI:1437758182
Name:ELITE ELDERCARE SERVICES INC
Entity Type:Organization
Organization Name:ELITE ELDERCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KHEM
Authorized Official - Middle Name:
Authorized Official - Last Name:SUBEDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-715-7420
Mailing Address - Street 1:1408 WINDEMERE LN
Mailing Address - Street 2:
Mailing Address - City:LANDISVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17538-1560
Mailing Address - Country:US
Mailing Address - Phone:717-715-7420
Mailing Address - Fax:
Practice Address - Street 1:1408 WINDEMERE LN
Practice Address - Street 2:
Practice Address - City:LANDISVILLE
Practice Address - State:PA
Practice Address - Zip Code:17538-1560
Practice Address - Country:US
Practice Address - Phone:717-715-7420
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-23
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care