Provider Demographics
NPI:1710767199
Name:ELITE ELDERCARE SOLUTIONS LLC
Entity Type:Organization
Organization Name:ELITE ELDERCARE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SODONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWELL-WARREN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-577-9975
Mailing Address - Street 1:5445 6TH ST
Mailing Address - Street 2:
Mailing Address - City:ZEPHYRHILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33542-3907
Mailing Address - Country:US
Mailing Address - Phone:336-577-9975
Mailing Address - Fax:
Practice Address - Street 1:5445 6TH ST
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33542-3907
Practice Address - Country:US
Practice Address - Phone:336-577-9975
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-03
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care