Healthcare Provider Details
I. General information
NPI: 1457668113
Provider Name (Legal Business Name): ELITE HOME CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/01/2010
Last Update Date: 12/26/2025
Certification Date: 12/26/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8301 E PRENTICE AVE STE 210
GREENWOOD VILLAGE CO
80111-2905
US
IV. Provider business mailing address
PO BOX 1286
PARKER CO
80134-1286
US
V. Phone/Fax
- Phone: 303-835-8351
- Fax: 303-835-8370
- Phone: 303-835-8351
- Fax: 303-835-8370
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | 04L103 |
| License Number State | CO |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251F00000X |
| Taxonomy | Home Infusion Agency |
| License Number | 04L103 |
| License Number State | CO |
VIII. Authorized Official
Name: MS.
DAWN
M
HARKINS
Title or Position: ADMINISTRATOR
Credential: RN, BSN
Phone: 303-835-8351