Provider Demographics
NPI:1871854216
Name:ELITE COMPANION AND HOMEMAKER SERVICES, LLC
Entity Type:Organization
Organization Name:ELITE COMPANION AND HOMEMAKER SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHARDA
Authorized Official - Middle Name:
Authorized Official - Last Name:PARAHOO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-713-8970
Mailing Address - Street 1:3760 N JOG RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-7452
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3760 N JOG RD
Practice Address - Street 2:SUITE 103
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-7452
Practice Address - Country:US
Practice Address - Phone:561-713-8970
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-01
Last Update Date:2012-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL232505253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL232505OtherAHCA LICENSE NUMBER