Healthcare Provider Details

I. General information

NPI: 1578270054
Provider Name (Legal Business Name): ELITE CARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2022
Last Update Date: 03/28/2023
Certification Date: 03/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8700 BUCKINGHAM LN APT 14
KANSAS CITY MO
64138-1236
US

IV. Provider business mailing address

8700 BUCKINGHAM LN #14
KANSAS CITY MO
64138-1236
US

V. Phone/Fax

Practice location:
  • Phone: 808-854-8151
  • Fax:
Mailing address:
  • Phone: 816-263-8290
  • 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 Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE ABRAM
Title or Position: OWNER
Credential:
Phone: 808-854-8151