Provider Demographics
NPI:1700230018
Name:ELITE CHOICE HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:ELITE CHOICE HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-861-9350
Mailing Address - Street 1:310 S WILLIAMS BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-4407
Mailing Address - Country:US
Mailing Address - Phone:520-861-9350
Mailing Address - Fax:
Practice Address - Street 1:310 S WILLIAMS BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-4407
Practice Address - Country:US
Practice Address - Phone:520-861-9350
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-22
Last Update Date:2016-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health