Provider Demographics
NPI:1720545882
Name:ELDERLY R US LLC
Entity Type:Organization
Organization Name:ELDERLY R US LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:
Authorized Official - Last Name:CALZADA CRESPO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-853-8199
Mailing Address - Street 1:2980 NW 84TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33147-4054
Mailing Address - Country:US
Mailing Address - Phone:786-953-7409
Mailing Address - Fax:786-953-7409
Practice Address - Street 1:2980 NW 84TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33147-4054
Practice Address - Country:US
Practice Address - Phone:786-953-7409
Practice Address - Fax:786-953-7409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-25
Last Update Date:2019-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility