Healthcare Provider Details

I. General information

NPI: 1720917156
Provider Name (Legal Business Name): PB-SK LLC DBA ELITE SEVA HOMECARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1284 TRAPELO RD
WALTHAM MA
02451-2228
US

IV. Provider business mailing address

1284 TRAPELO RD
WALTHAM MA
02451-2228
US

V. Phone/Fax

Practice location:
  • Phone: 781-330-5858
  • Fax: 781-205-0259
Mailing address:
  • Phone: 781-330-5858
  • Fax: 781-205-0259

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KUNJAN PATEL
Title or Position: OWNER
Credential:
Phone: 781-330-5858