Provider Demographics
NPI:1003639741
Name:ELPITHA
Entity type:Organization
Organization Name:ELPITHA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VOULA
Authorized Official - Middle Name:
Authorized Official - Last Name:LIACOPULOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-334-4466
Mailing Address - Street 1:450 TILTON RD STE 201
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08225-1259
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:450 TILTON RD STE 201
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08225-1259
Practice Address - Country:US
Practice Address - Phone:609-241-0899
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-01
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health