Provider Demographics
NPI:1649912189
Name:ELEOS HOME CARE LLC
Entity type:Organization
Organization Name:ELEOS HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILL
Authorized Official - Middle Name:
Authorized Official - Last Name:MENKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-604-0419
Mailing Address - Street 1:205 6TH ST NW
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22903-4512
Mailing Address - Country:US
Mailing Address - Phone:434-604-0419
Mailing Address - Fax:
Practice Address - Street 1:3 BOARS HEAD LN STE C7
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903-4604
Practice Address - Country:US
Practice Address - Phone:434-604-0419
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-13
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care