Healthcare Provider Details
I. General information
NPI: 1306786611
Provider Name (Legal Business Name): ELITE HAVEN HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4820 STEWART AVE APT 6
CINCINNATI OH
45227-2259
US
IV. Provider business mailing address
4820 STEWART AVE APT 6
CINCINNATI OH
45227-2259
US
V. Phone/Fax
- Phone: 513-445-8059
- Fax:
- Phone: 513-445-8059
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
BRITTANIE
WRIGHT
Title or Position: OWNER
Credential: CMA, CNA
Phone: 513-445-8059