Provider Demographics
NPI:1669277372
Name:ELITE HEALTH SERVICES, LLC
Entity type:Organization
Organization Name:ELITE HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHADWICK WADE
Authorized Official - Middle Name:DEPORRIS
Authorized Official - Last Name:WADE
Authorized Official - Suffix:
Authorized Official - Credentials:RRT, MBA, MHA
Authorized Official - Phone:404-709-1913
Mailing Address - Street 1:248 IRONWOOD DR
Mailing Address - Street 2:
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-2286
Mailing Address - Country:US
Mailing Address - Phone:404-709-1913
Mailing Address - Fax:
Practice Address - Street 1:248 IRONWOOD DR
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-2286
Practice Address - Country:US
Practice Address - Phone:404-709-1913
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care