Provider Demographics
NPI:1942467287
Name:ELITE HEALTH CARE INC
Entity Type:Organization
Organization Name:ELITE HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER ASSISTANT ADMINATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHAWNTE
Authorized Official - Middle Name:LATARSHA
Authorized Official - Last Name:GRANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-831-7552
Mailing Address - Street 1:828 GREENBRIER PKWY STE 110
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-3684
Mailing Address - Country:US
Mailing Address - Phone:757-842-6596
Mailing Address - Fax:
Practice Address - Street 1:828 GREENBRIER PKWY STE 110
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-3684
Practice Address - Country:US
Practice Address - Phone:757-842-6596
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-22
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-08502251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health