Provider Demographics
NPI:1467514174
Name:ELITAIR CARE HOME HEALTH AGENCY, INC.
Entity Type:Organization
Organization Name:ELITAIR CARE HOME HEALTH AGENCY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ZELETA
Authorized Official - Middle Name:
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-758-9962
Mailing Address - Street 1:3243 DALMATIAN DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77045-6517
Mailing Address - Country:US
Mailing Address - Phone:713-413-9916
Mailing Address - Fax:713-413-3349
Practice Address - Street 1:3243 DALMATIAN DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77045-6517
Practice Address - Country:US
Practice Address - Phone:713-413-9916
Practice Address - Fax:713-413-3349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010393251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX010393Medicare ID - Type UnspecifiedHOME HEALTH INITIAL LICEN