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NPI Code Detail

MEDICARE: ELITE HOME HEALTH SERVICES

MEDICARE: ELITE HOME HEALTH SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1385H00000XRespite Care
2251E00000XHome Health Agency401620330314OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043602907
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELITE HOME HEALTH SERVICES
Provider Business Mailing Address
First Line : 3649 LEE RD
Second Line :
City : SHAKER HEIGHTS
State : OH
Zip : 44120-5108
Country : US
Telephone Number : 216-336-5608
Fax Number : 216-245-6805
Provider Business Practice Location Address
First Line : 3649 LEE RD
Second Line :
City : SHAKER HEIGHTS
State : OH
Zip : 44120-5108
Country : US
Telephone Number : 216-336-5608
Fax Number : 216-245-6805
Authorized Official
Title or Position : EXECUTIVE DIRECTOR/CEO
Name : MS. AMY LYNNE GARDNER
Credential : MBA
Telephone Number : 216-336-5608
Provider Enumeration Date : 03/02/2015
Last Update Date : 11/20/2025

Similar Medicare Providers

1104937275 — NATIONWIDE MEDICAL SUPPLIES
Practice Location Address:
3657 LEE RD
SHAKER HEIGHTS, OH
44120-5108
Practice Phone: 216-752-9331
Practice Fax: 216-752-9653
1972929040 — AMY GARDNER-WILLIAMS
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3649 LEE RD
SHAKER HEIGHTS, OH
44120-5108
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Practice Fax: 216-245-6805
1851138846 — HOPE FUND INC, MENTAL HEALTH & FAMILY SERVICES
Practice Location Address:
3613 LEE RD
SHAKER HEIGHTS, OH
44120-5108
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Practice Fax:
1831936822 — HOPE FUND INC, MENTAL HEALTH & FAMILY SERVICES
Practice Location Address:
3613 LEE RD
SHAKER HEIGHTS, OH
44120-5108
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Practice Fax:
1285527754 — ELITE HOME HEALTH SERVICES
Practice Location Address:
3649 LEE RD
SHAKER HEIGHTS, OH
44120-5108
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Practice Fax: 216-245-6805
1326754086 — HOPE FUND INC, MENTAL HEALTH & FAMILY SERVICES
Practice Location Address:
3613 LEE RD
SHAKER HTS, OH
44120-5108
Practice Phone: 216-509-6129
Practice Fax:

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