Healthcare Provider Details

I. General information

NPI: 1164356317
Provider Name (Legal Business Name): ELBE HOUSE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

161 MARION OAKS PASS
OCALA FL
34473-3842
US

IV. Provider business mailing address

161 MARION OAKS PASS
OCALA FL
34473-3842
US

V. Phone/Fax

Practice location:
  • Phone: 850-445-5040
  • Fax: 850-445-5040
Mailing address:
  • Phone: 850-445-5040
  • Fax: 850-445-5040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: LERETHA CURRY
Title or Position: ADMIN
Credential:
Phone: 850-445-5040