Healthcare Provider Details

I. General information

NPI: 1821926049
Provider Name (Legal Business Name): 4ELITE NANNIES & SPECIALTY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2026
Last Update Date: 05/09/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5663 PHILLIPS DR
FOREST PARK GA
30297-4076
US

IV. Provider business mailing address

5663 PHILLIPS DR
FOREST PARK GA
30297-4076
US

V. Phone/Fax

Practice location:
  • Phone: 301-257-7052
  • Fax: 301-257-7052
Mailing address:
  • Phone: 301-257-7052
  • Fax: 301-257-7052

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: ERICA HOBBS
Title or Position: OWNER
Credential: HOBBS
Phone: 301-257-7052