Provider Demographics
NPI:1750775078
Name:ELITE HOMECARE LLC
Entity type:Organization
Organization Name:ELITE HOMECARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:O
Authorized Official - Middle Name:
Authorized Official - Last Name:OLUFADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-964-0062
Mailing Address - Street 1:1215 LIVINGSTON AVE STE 308
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-3834
Mailing Address - Country:US
Mailing Address - Phone:732-964-0062
Mailing Address - Fax:732-317-1695
Practice Address - Street 1:1215 LIVINGSTON AVE STE 308
Practice Address - Street 2:
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-3834
Practice Address - Country:US
Practice Address - Phone:732-964-0062
Practice Address - Fax:732-317-1695
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-25
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care