Provider Demographics
NPI:1265111314
Name:ELITE HOME COMFORT CARE LLC
Entity type:Organization
Organization Name:ELITE HOME COMFORT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HASSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAM
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:773-817-5088
Mailing Address - Street 1:2021 E DUBLIN GRANVILLE RD STE 132
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-3568
Mailing Address - Country:US
Mailing Address - Phone:773-817-5088
Mailing Address - Fax:614-252-7181
Practice Address - Street 1:1611 WOODLAND AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43219-1135
Practice Address - Country:US
Practice Address - Phone:773-817-5088
Practice Address - Fax:614-252-7181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-17
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service