Provider Demographics
NPI:1629947015
Name:E.L.I.T.E. LOVE CARE (EXCEPTIONAL LOVING IN-HOME TRUSTED EXPERTS),LLC
Entity type:Organization
Organization Name:E.L.I.T.E. LOVE CARE (EXCEPTIONAL LOVING IN-HOME TRUSTED EXPERTS),LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:QIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:KINZER-SEATON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-200-8731
Mailing Address - Street 1:728 HOLLANDALE RD
Mailing Address - Street 2:
Mailing Address - City:LA VERGNE
Mailing Address - State:TN
Mailing Address - Zip Code:37086-2003
Mailing Address - Country:US
Mailing Address - Phone:615-200-8731
Mailing Address - Fax:615-907-4871
Practice Address - Street 1:728 HOLLANDALE RD
Practice Address - Street 2:
Practice Address - City:LA VERGNE
Practice Address - State:TN
Practice Address - Zip Code:37086-2003
Practice Address - Country:US
Practice Address - Phone:615-200-8731
Practice Address - Fax:615-907-4871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-03
Last Update Date:2025-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health