Healthcare Provider Details

I. General information

NPI: 1861753659
Provider Name (Legal Business Name): ELITE CARE MANAGEMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2012
Last Update Date: 01/21/2026
Certification Date: 01/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

568 S WASHINGTON ST
NAPERVILLE IL
60540-6843
US

IV. Provider business mailing address

568 S WASHINGTON ST
NAPERVILLE IL
60540-6843
US

V. Phone/Fax

Practice location:
  • Phone: 630-548-9500
  • Fax: 630-548-0541
Mailing address:
  • Phone: 630-548-9500
  • Fax: 630-548-0541

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHN S MASTRANGELI
Title or Position: OFFICER
Credential:
Phone: 630-548-9500