Healthcare Provider Details

I. General information

NPI: 1467960443
Provider Name (Legal Business Name): ELABORATE HOME HEALTH CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2018
Last Update Date: 03/06/2026
Certification Date: 03/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6480 NEW HAMPSHIRE AVE STE 301B
TAKOMA PARK MD
20912
US

IV. Provider business mailing address

6480 NEW HAMPSHIRE AVE STE 301B
TAKOMA PARK MD
20912-4716
US

V. Phone/Fax

Practice location:
  • Phone: 202-294-8116
  • Fax:
Mailing address:
  • Phone: 202-294-8116
  • Fax: 276-248-0224

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: KATHERINE J EYEGUE-SANDY
Title or Position: PRESIDENT
Credential: DNP, CRNP, APRN
Phone: 202-294-8116