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NPI Code Detail

MEDICARE: ELX, LLC

MEDICARE: ELX, LLC
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
1347C00000XPrivate Vehicle
2385H00000XRespite Care
3385HR2060XChild Intellectual and/or Developmental Disabilities Respite Care
4385HR2065XChild Physical Disabilities Respite Care
5343900000XNon-emergency Medical Transport (VAN)
6253Z00000XIn Home Supportive Care Agency
73104A0625XAssisted Living Facility (Mental Illness)
8310400000XAssisted Living Facility

Other Identifiers

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

General Provider Information

NPI Number : 1821634767
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELX, LLC
Provider Business Mailing Address
First Line : 5255 HERONCREEK BLVD
Second Line :
City : COLUMBUS
State : OH
Zip : 43213-7626
Country : US
Telephone Number : 618-795-9020
Fax Number :
Provider Business Practice Location Address
First Line : 5255 HERONCREEK BLVD
Second Line :
City : COLUMBUS
State : OH
Zip : 43213-7626
Country : US
Telephone Number : 618-795-9020
Fax Number :
Authorized Official
Title or Position : CEO
Name : MISS NATODDSHA DOWNEY
Credential : MSA
Telephone Number : 618-795-9020
Provider Enumeration Date : 11/26/2019
Last Update Date : 11/26/2019

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Directions to “ELX, LLC ” Practice Location

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