Healthcare Provider Details

I. General information

NPI: 1578207429
Provider Name (Legal Business Name): A TO Z ELITE HEALTH SERVICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2022
Last Update Date: 05/05/2022
Certification Date: 05/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1210 SHELL DUCK CT
UPPER MARLBORO MD
20774-7052
US

IV. Provider business mailing address

1210 SHELL DUCK CT
UPPER MARLBORO MD
20774-7052
US

V. Phone/Fax

Practice location:
  • Phone: 240-893-5099
  • Fax:
Mailing address:
  • Phone: 240-893-5099
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State

VIII. Authorized Official

Name: MRS. REBECCA KABBA
Title or Position: MANAGER
Credential: RN MSN
Phone: 240-893-5099