Healthcare Provider Details

I. General information

NPI: 1760652671
Provider Name (Legal Business Name): ELITE NURSING CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2008
Last Update Date: 06/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8807 PRISCILLA CT
LANHAM MD
20706-3540
US

IV. Provider business mailing address

8807 PRISCILLA CT
LANHAM MD
20706-3540
US

V. Phone/Fax

Practice location:
  • Phone: 240-286-6749
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: MICHELLE PIPERSBURGH
Title or Position: CEO
Credential:
Phone: 240-286-6749