Provider Demographics
NPI:1811508500
Name:C&B ELITE CARE SERVICES, INC.
Entity type:Organization
Organization Name:C&B ELITE CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDETTE
Authorized Official - Middle Name:M
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:HEALTH SERVICES ADMI
Authorized Official - Phone:954-496-2112
Mailing Address - Street 1:16309 SW 15TH ST
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33027-5129
Mailing Address - Country:US
Mailing Address - Phone:954-496-2112
Mailing Address - Fax:
Practice Address - Street 1:6151 MIRAMAR PKWY STE 113
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33023-3987
Practice Address - Country:US
Practice Address - Phone:954-496-2112
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-14
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care