Provider Demographics
NPI:1497947709
Name:ELIA'S HOME CARE INC
Entity Type:Organization
Organization Name:ELIA'S HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:MANUEL
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-287-2382
Mailing Address - Street 1:5600 SW 7TH ST
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-1064
Mailing Address - Country:US
Mailing Address - Phone:786-287-2359
Mailing Address - Fax:305-599-9097
Practice Address - Street 1:5600 SW 7TH ST
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-1064
Practice Address - Country:US
Practice Address - Phone:786-287-2359
Practice Address - Fax:305-599-9097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-10
Last Update Date:2013-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL11061310400000X
FL11061310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL142835700Medicaid
FL008660300Medicaid