MEDICARE: ELITE FAMILY HOME 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	253Z00000X	In Home Supportive Care Agency

Other Identifiers

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

General Provider Information

NPI Number	:	1740940642
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELITE FAMILY HOME CARE INC

Provider Business Mailing Address
First Line	:	2300 W 84TH ST STE 404
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33016-5773
Country	:	US
Telephone Number	:	954-319-2628
Fax Number	:

Provider Business Practice Location Address
First Line	:	2300 W 84TH ST STE 404A
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33016-5773
Country	:	US
Telephone Number	:	305-590-8095
Fax Number	:	305-893-8131

Authorized Official
Title or Position	:	OWNER
Name	:	BLANCA CARDENAS
Credential	:
Telephone Number	:	954-319-2628

Provider Enumeration Date	:	12/20/2021
Last Update Date	:	03/04/2026

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Directions to “ELITE FAMILY HOME CARE INC ” Practice Location

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