Provider Demographics
NPI:1578897740
Name:ELITE HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:ELITE HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAYNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-643-1151
Mailing Address - Street 1:1524 COSTELLO DR
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:IN
Mailing Address - Zip Code:46011-3107
Mailing Address - Country:US
Mailing Address - Phone:765-643-1151
Mailing Address - Fax:765-643-1151
Practice Address - Street 1:1524 COSTELLO DR
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:IN
Practice Address - Zip Code:46011-3107
Practice Address - Country:US
Practice Address - Phone:765-643-1151
Practice Address - Fax:765-643-1151
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-22
Last Update Date:2009-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health