Healthcare Provider Details

I. General information

NPI: 1548847882
Provider Name (Legal Business Name): ELITE CAREGIVERS HOME CARE CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2021
Last Update Date: 04/07/2022
Certification Date: 04/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6625 MIAMI LAKES DR STE 328
MIAMI LAKES FL
33014-2752
US

IV. Provider business mailing address

6625 MIAMI LAKES DR STE 328
MIAMI LAKES FL
33014-2752
US

V. Phone/Fax

Practice location:
  • Phone: 786-769-3440
  • Fax:
Mailing address:
  • Phone: 786-769-3440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name: ANDRES F RUIZ
Title or Position: PRESIDENT
Credential:
Phone: 786-769-3440