Healthcare Provider Details

I. General information

NPI: 1710230610
Provider Name (Legal Business Name): ELITE HOME HEALTH CARE PLUS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2012
Last Update Date: 10/17/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1525 WEST BATTLE ROAD
FARWELL MI
48622
US

IV. Provider business mailing address

1525 W. BATTLE ROAD
FARWELL MI
48622
US

V. Phone/Fax

Practice location:
  • Phone: 989-444-0840
  • Fax:
Mailing address:
  • Phone: 989-444-0840
  • Fax:

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: MS. SUSAN ELIZABETH CHASE
Title or Position: RN CO-OWNER
Credential: REGISTERED NURSE
Phone: 989-533-9282