Provider Demographics
NPI:1396535043
Name:ELMCARE LLC
Entity type:Organization
Organization Name:ELMCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER/MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:OLUWATOSIN
Authorized Official - Middle Name:
Authorized Official - Last Name:TAIRU
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:267-258-4196
Mailing Address - Street 1:103 UNDERWOOD RD UNIT J
Mailing Address - Street 2:
Mailing Address - City:FLETCHER
Mailing Address - State:NC
Mailing Address - Zip Code:28732-8661
Mailing Address - Country:US
Mailing Address - Phone:267-258-4196
Mailing Address - Fax:828-376-0219
Practice Address - Street 1:103 UNDERWOOD RD UNIT J
Practice Address - Street 2:
Practice Address - City:FLETCHER
Practice Address - State:NC
Practice Address - Zip Code:28732-8661
Practice Address - Country:US
Practice Address - Phone:267-258-4196
Practice Address - Fax:828-376-0219
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-07
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health