Provider Demographics
NPI:1679069967
Name:ELITES CARE LLC
Entity Type:Organization
Organization Name:ELITES CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:AWONTI
Authorized Official - Middle Name:
Authorized Official - Last Name:ETOO NDJONGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-869-6291
Mailing Address - Street 1:6495 NEW HAMPSHIRE AVE STE A303
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20783-3245
Mailing Address - Country:US
Mailing Address - Phone:240-825-3153
Mailing Address - Fax:240-823-3154
Practice Address - Street 1:6495 NEW HAMPSHIRE AVE STE A303
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20783-3245
Practice Address - Country:US
Practice Address - Phone:240-825-3153
Practice Address - Fax:240-823-3154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-10
Last Update Date:2018-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No372500000XNursing Service Related ProvidersChore ProviderGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty