Provider Demographics
NPI:1558872309
Name:ELITE HOME HEALTH LLC
Entity Type:Organization
Organization Name:ELITE HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXIS
Authorized Official - Middle Name:DARLENE
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-609-6034
Mailing Address - Street 1:3333 N DIGITAL DR STE 400A
Mailing Address - Street 2:
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043-6695
Mailing Address - Country:US
Mailing Address - Phone:801-649-5566
Mailing Address - Fax:
Practice Address - Street 1:3333 N DIGITAL DR STE 400A
Practice Address - Street 2:
Practice Address - City:LEHI
Practice Address - State:UT
Practice Address - Zip Code:84043-6695
Practice Address - Country:US
Practice Address - Phone:801-609-6034
Practice Address - Fax:801-609-6351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-19
Last Update Date:2023-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health