Provider Demographics
NPI:1598046922
Name:ELITE HOME HEALTH CARE,LLC
Entity Type:Organization
Organization Name:ELITE HOME HEALTH CARE,LLC
Other - Org Name:ELITE HOME HEALTH CARE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:A
Authorized Official - Last Name:KAMARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-487-0920
Mailing Address - Street 1:6369 MCLEOD DR
Mailing Address - Street 2:# 9
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120
Mailing Address - Country:US
Mailing Address - Phone:702-998-4465
Mailing Address - Fax:
Practice Address - Street 1:6369 MCLEOD DR
Practice Address - Street 2:# 9
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120
Practice Address - Country:US
Practice Address - Phone:702-998-4465
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-30
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV6178HHA-0251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV617HHA-0OtherSTATE OF NEVADA BUREAU OF HEALTH AND HUMAN SERVICES DIVISION OF HEALTH