Provider Demographics
NPI:1467885178
Name:ELITE CARE HOSPICE
Entity Type:Organization
Organization Name:ELITE CARE HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:TEJA
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:747-202-3750
Mailing Address - Street 1:8619 RESEDA BLVD STE 204
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-4044
Mailing Address - Country:US
Mailing Address - Phone:747-202-3750
Mailing Address - Fax:818-936-0810
Practice Address - Street 1:8619 RESEDA BLVD STE 204
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-4044
Practice Address - Country:US
Practice Address - Phone:747-202-3750
Practice Address - Fax:818-936-0810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-16
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550002913251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based