Provider Demographics
NPI:1508324245
Name:ELITE HOME & NURSING CARE, LLC
Entity Type:Organization
Organization Name:ELITE HOME & NURSING CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:574-737-4156
Mailing Address - Street 1:2515 E MARKET ST STE A
Mailing Address - Street 2:
Mailing Address - City:LOGANSPORT
Mailing Address - State:IN
Mailing Address - Zip Code:46947-2068
Mailing Address - Country:US
Mailing Address - Phone:574-737-4156
Mailing Address - Fax:574-992-2818
Practice Address - Street 1:2515 E MARKET ST STE A
Practice Address - Street 2:
Practice Address - City:LOGANSPORT
Practice Address - State:IN
Practice Address - Zip Code:46947-2068
Practice Address - Country:US
Practice Address - Phone:574-737-4156
Practice Address - Fax:574-992-2818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-12
Last Update Date:2019-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health