Provider Demographics
NPI:1295927606
Name:ELITE HOME HEALTH CARE INC.
Entity type:Organization
Organization Name:ELITE HOME HEALTH CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:SVYATSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-668-4467
Mailing Address - Street 1:6290 N PORT WASHINGTON RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:GLENDALE
Mailing Address - State:WI
Mailing Address - Zip Code:53217-4312
Mailing Address - Country:US
Mailing Address - Phone:414-964-5610
Mailing Address - Fax:414-964-5613
Practice Address - Street 1:6290 N PORT WASHINGTON RD
Practice Address - Street 2:SUITE 100
Practice Address - City:GLENDALE
Practice Address - State:WI
Practice Address - Zip Code:53217-4312
Practice Address - Country:US
Practice Address - Phone:414-964-5610
Practice Address - Fax:414-964-5613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-10
Last Update Date:2008-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health