Provider Demographics
NPI:1598444093
Name:ELITE HOME HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:ELITE HOME HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:RAFIA
Authorized Official - Middle Name:NICOLA
Authorized Official - Last Name:GROOMS
Authorized Official - Suffix:
Authorized Official - Credentials:APN
Authorized Official - Phone:856-340-3600
Mailing Address - Street 1:701 DEVONSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08094-3897
Mailing Address - Country:US
Mailing Address - Phone:856-340-3600
Mailing Address - Fax:
Practice Address - Street 1:701 DEVONSHIRE DR
Practice Address - Street 2:
Practice Address - City:WILLIAMSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08094-3897
Practice Address - Country:US
Practice Address - Phone:856-340-3600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-13
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health