Provider Demographics
NPI:1487005252
Name:ELITE HOUSING SERVICES INC
Entity Type:Organization
Organization Name:ELITE HOUSING SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ABDIWELI
Authorized Official - Middle Name:HASSSAN
Authorized Official - Last Name:HASHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-406-0267
Mailing Address - Street 1:3055 OLD HIGHWAY 8 STE 111
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55418-2577
Mailing Address - Country:US
Mailing Address - Phone:952-406-0267
Mailing Address - Fax:
Practice Address - Street 1:3055 OLD HIGHWAY 8 STE 111
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55418-2577
Practice Address - Country:US
Practice Address - Phone:952-406-0267
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-23
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities