Healthcare Provider Details

I. General information

NPI: 1346587334
Provider Name (Legal Business Name): ELITE PROFESSIONALS HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2013
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13306 A STREET STE A
OMAHA NE
68144
US

IV. Provider business mailing address

13306 A ST STE A
OMAHA NE
68144-3660
US

V. Phone/Fax

Practice location:
  • Phone: 402-339-7727
  • Fax: 402-614-3141
Mailing address:
  • Phone: 402-339-7727
  • Fax: 402-614-3141

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHHA201604
License Number StateNE

VIII. Authorized Official

Name: DEBRA BABICZ
Title or Position: BILLING DIRECTOR
Credential:
Phone: 208-346-7807