Provider Demographics
NPI:1982482659
Name:ELITE TOTAL CARE, LLC
Entity Type:Organization
Organization Name:ELITE TOTAL CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:OSHMAN
Authorized Official - Last Name:SILKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:913-486-7109
Mailing Address - Street 1:949 WITCH HOLLOW ST
Mailing Address - Street 2:
Mailing Address - City:GARDNER
Mailing Address - State:KS
Mailing Address - Zip Code:66030-1796
Mailing Address - Country:US
Mailing Address - Phone:913-203-5176
Mailing Address - Fax:
Practice Address - Street 1:949 WITCH HOLLOW ST
Practice Address - Street 2:
Practice Address - City:GARDNER
Practice Address - State:KS
Practice Address - Zip Code:66030-1796
Practice Address - Country:US
Practice Address - Phone:913-203-5176
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-15
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No347C00000XTransportation ServicesPrivate Vehicle