Provider Demographics
NPI:1629300660
Name:ELITE NURSING SERVICES, INC.
Entity Type:Organization
Organization Name:ELITE NURSING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BANBAH
Authorized Official - Middle Name:DENNIS
Authorized Official - Last Name:GARSINII
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-421-3613
Mailing Address - Street 1:6160 SUMMIT DR N STE 560A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN CENTER
Mailing Address - State:MN
Mailing Address - Zip Code:55430-2145
Mailing Address - Country:US
Mailing Address - Phone:763-421-3613
Mailing Address - Fax:763-374-5451
Practice Address - Street 1:6160 SUMMIT DR N STE 560A
Practice Address - Street 2:
Practice Address - City:BROOKLYN CENTER
Practice Address - State:MN
Practice Address - Zip Code:55430-2145
Practice Address - Country:US
Practice Address - Phone:763-421-3613
Practice Address - Fax:763-374-5451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-02
Last Update Date:2018-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN346747251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health