Provider Demographics
NPI:1710638697
Name:ELITE CARES'S SERVICE
Entity Type:Organization
Organization Name:ELITE CARES'S SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KOSONDRA
Authorized Official - Middle Name:MONIQUE
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-382-7928
Mailing Address - Street 1:6015 E 40TH TER
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64129-1717
Mailing Address - Country:US
Mailing Address - Phone:762-270-1911
Mailing Address - Fax:
Practice Address - Street 1:6015 E 40TH TER
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64129-1717
Practice Address - Country:US
Practice Address - Phone:762-270-1911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-12
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care