Healthcare Provider Details

I. General information

NPI: 1942749403
Provider Name (Legal Business Name): ELITE HEALTHCARE SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2017
Last Update Date: 12/18/2023
Certification Date: 12/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 MARSHALL AVE
BERLIN NJ
08009-1631
US

IV. Provider business mailing address

PO BOX 61
BERLIN NJ
08009-0061
US

V. Phone/Fax

Practice location:
  • Phone: 888-611-3548
  • Fax:
Mailing address:
  • Phone: 856-813-7858
  • 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 Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: VICTORIA MATHIS-DEBRAH
Title or Position: OWNER
Credential:
Phone: 856-813-7858