Provider Demographics
NPI:1497590228
Name:ELITE HOME CARE
Entity type:Organization
Organization Name:ELITE HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAKAPON
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:KRABUANRAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-930-0217
Mailing Address - Street 1:9266 ARBOR GLEN ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89123-2061
Mailing Address - Country:US
Mailing Address - Phone:818-930-0217
Mailing Address - Fax:
Practice Address - Street 1:4613 W DESERT INN RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-7116
Practice Address - Country:US
Practice Address - Phone:818-930-0217
Practice Address - Fax:702-642-0554
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEW HORIZONS HEALTH SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-06-25
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care