Healthcare Provider Details

I. General information

NPI: 1114376118
Provider Name (Legal Business Name): ELEON HEALTHCARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2016
Last Update Date: 06/10/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 PASSAIC ST SUITE 5
HACKENSACK NJ
07601-3525
US

IV. Provider business mailing address

2145 OCEAN AVE APT D10
BROOKLYN NY
11229-1446
US

V. Phone/Fax

Practice location:
  • Phone: 347-424-5309
  • Fax:
Mailing address:
  • Phone: 347-424-5309
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: EKATERINA BARNARD
Title or Position: OWNER
Credential:
Phone: 347-424-5309