MEDICARE: ELITE LOVE AND CARE, INC

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
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1649062977
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELITE LOVE AND CARE, INC

Provider Business Mailing Address
First Line	:	62 SAINT LOUIS ST
Second Line	:
City	:	WORCESTER
State	:	MA
Zip	:	01607-1421
Country	:	US
Telephone Number	:	774-315-8079
Fax Number	:

Provider Business Practice Location Address
First Line	:	62 SAINT LOUIS ST
Second Line	:
City	:	WORCESTER
State	:	MA
Zip	:	01607-1421
Country	:	US
Telephone Number	:	774-315-8079
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HAWA JAH
Credential	:
Telephone Number	:	774-315-8079

Provider Enumeration Date	:	05/21/2025
Last Update Date	:	05/21/2025

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Directions to “ELITE LOVE AND CARE, INC ” Practice Location

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