Provider Demographics
NPI:1801284740
Name:ELDERLY CARE SERVICES, LLC.
Entity type:Organization
Organization Name:ELDERLY CARE SERVICES, LLC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/ EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:VITALY
Authorized Official - Middle Name:
Authorized Official - Last Name:SALO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-882-9300
Mailing Address - Street 1:1519 HIGHWAY 13 E
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55337-2917
Mailing Address - Country:US
Mailing Address - Phone:952-882-9300
Mailing Address - Fax:952-882-9301
Practice Address - Street 1:1519 HIGHWAY 13 E
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-2917
Practice Address - Country:US
Practice Address - Phone:952-882-9300
Practice Address - Fax:952-882-9301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-30
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN366784253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care