Provider Demographics
NPI:1568832988
Name:ELEON HOME CARE AGENCY INC.
Entity Type:Organization
Organization Name:ELEON HOME CARE AGENCY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EKATERINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-460-2315
Mailing Address - Street 1:2145 OCEAN AVE
Mailing Address - Street 2:APT D10
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-1446
Mailing Address - Country:US
Mailing Address - Phone:347-460-2315
Mailing Address - Fax:
Practice Address - Street 1:1723 E 12TH ST
Practice Address - Street 2:FLOOR 3
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-1069
Practice Address - Country:US
Practice Address - Phone:347-460-2315
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-28
Last Update Date:2015-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health