Provider Demographics
NPI:1598535742
Name:ELDA HOME HELP GROUP
Entity Type:Organization
Organization Name:ELDA HOME HELP GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:E
Authorized Official - Last Name:HEAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-738-4538
Mailing Address - Street 1:9000 E. JEFFERSON AVE
Mailing Address - Street 2:APT 17-9
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48214-4199
Mailing Address - Country:US
Mailing Address - Phone:586-738-4538
Mailing Address - Fax:
Practice Address - Street 1:9000 E. JEFFERSON AVE
Practice Address - Street 2:APT 17-9
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48214-4199
Practice Address - Country:US
Practice Address - Phone:586-738-4538
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care