Provider Demographics
NPI:1497894349
Name:ELITE HEALTHCARE NURSING SERVICES, INC.
Entity Type:Organization
Organization Name:ELITE HEALTHCARE NURSING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:MRS
Authorized Official - First Name:EVELYN
Authorized Official - Middle Name:WINFRED
Authorized Official - Last Name:SSINABULYA
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:410-455-6418
Mailing Address - Street 1:PO BOX 21246
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-0746
Mailing Address - Country:US
Mailing Address - Phone:410-455-6418
Mailing Address - Fax:410-455-6419
Practice Address - Street 1:5411 OLD FREDERICK RD
Practice Address - Street 2:SUITE 2
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21229-2195
Practice Address - Country:US
Practice Address - Phone:410-455-6418
Practice Address - Fax:410-455-6419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health