Healthcare Provider Details

I. General information

NPI: 1245151398
Provider Name (Legal Business Name): ELITECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13710 E RICE PL STE 240
AURORA CO
80015-1074
US

IV. Provider business mailing address

13710 E RICE PL STE 240
AURORA CO
80015-1074
US

V. Phone/Fax

Practice location:
  • Phone: 303-717-1885
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: OLEG TSYBULSKIY
Title or Position: MANAGING MEMBER
Credential:
Phone: 720-480-4621