Provider Demographics
NPI:1477717726
Name:ELITE HOME CARE LLC
Entity Type:Organization
Organization Name:ELITE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:YUNESKY
Authorized Official - Middle Name:I
Authorized Official - Last Name:FORNARIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-222-9035
Mailing Address - Street 1:275 FONTAINEBLEAU BLVD
Mailing Address - Street 2:STE 154
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172-4501
Mailing Address - Country:US
Mailing Address - Phone:305-222-9035
Mailing Address - Fax:305-222-9036
Practice Address - Street 1:275 FONTAINEBLEAU BLVD
Practice Address - Street 2:STE 154
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33172-4501
Practice Address - Country:US
Practice Address - Phone:305-222-9035
Practice Address - Fax:305-222-9036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-16
Last Update Date:2008-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health