Provider Demographics
NPI:1457851636
Name:ELEOS WHITE LLC
Entity Type:Organization
Organization Name:ELEOS WHITE LLC
Other - Org Name:SENIOR HELPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:
Authorized Official - Last Name:VANOVITCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-659-0402
Mailing Address - Street 1:1700 POST RD STE B3
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06824-5726
Mailing Address - Country:US
Mailing Address - Phone:203-659-0402
Mailing Address - Fax:
Practice Address - Street 1:1700 POST RD STE B3
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06824-5726
Practice Address - Country:US
Practice Address - Phone:203-659-0402
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-14
Last Update Date:2018-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health