Healthcare Provider Details

I. General information

NPI: 1750775078
Provider Name (Legal Business Name): ELITE HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2015
Last Update Date: 05/21/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 LIVINGSTON AVE STE 308
NORTH BRUNSWICK NJ
08902-3834
US

IV. Provider business mailing address

1215 LIVINGSTON AVE STE 308
NORTH BRUNSWICK NJ
08902-3834
US

V. Phone/Fax

Practice location:
  • Phone: 732-964-0062
  • Fax: 732-317-1695
Mailing address:
  • Phone: 732-964-0062
  • Fax: 732-317-1695

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 Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: O OLUFADE
Title or Position: ADMINISTRATOR
Credential:
Phone: 732-964-0062