Provider Demographics
NPI:1205583440
Name:ELITE MEDICAL HOME CARE LP
Entity type:Organization
Organization Name:ELITE MEDICAL HOME CARE LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:KATHERINE
Authorized Official - Last Name:NARANJO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:936-366-8159
Mailing Address - Street 1:PO BOX 1743
Mailing Address - Street 2:
Mailing Address - City:LUFKIN
Mailing Address - State:TX
Mailing Address - Zip Code:75902-1743
Mailing Address - Country:US
Mailing Address - Phone:936-366-8159
Mailing Address - Fax:800-729-6519
Practice Address - Street 1:103E CARRIAGE DR
Practice Address - Street 2:
Practice Address - City:LUFKIN
Practice Address - State:TX
Practice Address - Zip Code:75904-0880
Practice Address - Country:US
Practice Address - Phone:936-637-2273
Practice Address - Fax:800-729-6519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-08
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No251E00000XAgenciesHome Health