Provider Demographics
NPI:1801190350
Name:ELITE NURSING CARE, INC.
Entity Type:Organization
Organization Name:ELITE NURSING CARE, INC.
Other - Org Name:CHRISTIAN PRIVATE OF SARASOTA, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:TUGGLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-412-4606
Mailing Address - Street 1:PO BOX 1224
Mailing Address - Street 2:
Mailing Address - City:OSPREY
Mailing Address - State:FL
Mailing Address - Zip Code:34229-1224
Mailing Address - Country:US
Mailing Address - Phone:941-412-4606
Mailing Address - Fax:941-786-1472
Practice Address - Street 1:101 CAPRI ISLES BLVD
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34292-3053
Practice Address - Country:US
Practice Address - Phone:941-412-4606
Practice Address - Fax:941-786-1472
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-27
Last Update Date:2014-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL30211462251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health