Healthcare Provider Details

I. General information

NPI: 1225101579
Provider Name (Legal Business Name): ELITE HOME HEALTH CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2006
Last Update Date: 03/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

441 S MAIN ST STE 3
STANDISH MI
48658-9480
US

IV. Provider business mailing address

441 S MAIN ST STE 3
STANDISH MI
48658-9480
US

V. Phone/Fax

Practice location:
  • Phone: 989-846-2222
  • Fax: 989-846-4556
Mailing address:
  • Phone: 989-846-2222
  • Fax: 989-846-4556

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. IRENE R TUTTLE
Title or Position: PRESIDENT
Credential: RN
Phone: 941-266-8036