Provider Demographics
NPI:1952197485
Name:ELITE COMFORT CARE LLC
Entity type:Organization
Organization Name:ELITE COMFORT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHAVEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GAYLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-200-4125
Mailing Address - Street 1:4932 TANYA LEE CIR APT 6206
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-7190
Mailing Address - Country:US
Mailing Address - Phone:954-288-3416
Mailing Address - Fax:
Practice Address - Street 1:4932 TANYA LEE CIR APT 6206
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328-7190
Practice Address - Country:US
Practice Address - Phone:954-288-3416
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health