Healthcare Provider Details

I. General information

NPI: 1043114614
Provider Name (Legal Business Name): COX ELITE HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 KINGSHIGHWAY ST STE D
ROLLA MO
65401-4163
US

IV. Provider business mailing address

601 KINGSHIGHWAY ST STE D
ROLLA MO
65401-4163
US

V. Phone/Fax

Practice location:
  • Phone: 573-537-2075
  • Fax:
Mailing address:
  • Phone: 573-537-2075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: CHRISTINA COX
Title or Position: OWNER/PRESIDENT/TREASURER
Credential:
Phone: 573-537-2075