Provider Demographics
NPI:1669122834
Name:ELIORA HOME CARE AGENCY LLC
Entity type:Organization
Organization Name:ELIORA HOME CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:GBATU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-708-9238
Mailing Address - Street 1:6216 NW 97TH ST
Mailing Address - Street 2:
Mailing Address - City:JOHNSTON
Mailing Address - State:IA
Mailing Address - Zip Code:50131-2761
Mailing Address - Country:US
Mailing Address - Phone:515-708-9238
Mailing Address - Fax:
Practice Address - Street 1:6216 NW 97TH ST
Practice Address - Street 2:
Practice Address - City:JOHNSTON
Practice Address - State:IA
Practice Address - Zip Code:50131-2761
Practice Address - Country:US
Practice Address - Phone:515-708-9238
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-28
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty