Provider Demographics
NPI:1508137761
Name:ELITE HOME HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:ELITE HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FRAZER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-267-9029
Mailing Address - Street 1:2691 E OAKLAND PARK BLVD STE 403A
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33306-1621
Mailing Address - Country:US
Mailing Address - Phone:954-267-9029
Mailing Address - Fax:954-267-9049
Practice Address - Street 1:2691 E OAKLAND PARK BLVD STE 403A
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33306-1621
Practice Address - Country:US
Practice Address - Phone:954-267-9029
Practice Address - Fax:954-267-9049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-19
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health