Healthcare Provider Details

I. General information

NPI: 1578262028
Provider Name (Legal Business Name): ELITE CAREGIVERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2023
Last Update Date: 02/23/2023
Certification Date: 02/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

533 SEDONA LOOP
HAMPTON GA
30228-2473
US

IV. Provider business mailing address

533 SEDONA LOOP
HAMPTON GA
30228-2473
US

V. Phone/Fax

Practice location:
  • Phone: 770-991-3758
  • Fax: 866-936-0486
Mailing address:
  • Phone: 770-371-9758
  • Fax: 866-936-0486

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 Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MARIA FOSTER
Title or Position: CEO/MANAGER
Credential: LPN
Phone: 229-630-5999