Provider Demographics
NPI:1942749403
Name:ELITE HEALTHCARE SOLUTIONS LLC
Entity Type:Organization
Organization Name:ELITE HEALTHCARE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MATHIS-DEBRAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-813-7858
Mailing Address - Street 1:PO BOX 61
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08009-0061
Mailing Address - Country:US
Mailing Address - Phone:856-813-7858
Mailing Address - Fax:
Practice Address - Street 1:6 MARSHALL AVE
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:NJ
Practice Address - Zip Code:08009-1631
Practice Address - Country:US
Practice Address - Phone:888-611-3548
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-16
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle
No385H00000XRespite Care FacilityRespite Care