Provider Demographics
NPI:1669034526
Name:ELITE HOME CARE AGENCY & TRAINING ENTERPRISES
Entity Type:Organization
Organization Name:ELITE HOME CARE AGENCY & TRAINING ENTERPRISES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:KINNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-256-4663
Mailing Address - Street 1:184 NORTHAMPTON STREET
Mailing Address - Street 2:BUILDING 3 SUITE 301
Mailing Address - City:EASTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01027
Mailing Address - Country:US
Mailing Address - Phone:413-256-4663
Mailing Address - Fax:413-203-5709
Practice Address - Street 1:184 NORTHAMPTON STREET
Practice Address - Street 2:BUILDING 3 SUITE 301
Practice Address - City:EASTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01027
Practice Address - Country:US
Practice Address - Phone:413-256-4663
Practice Address - Fax:413-203-5709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-01
Last Update Date:2019-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care