Healthcare Provider Details

I. General information

NPI: 1780514562
Provider Name (Legal Business Name): ELITE2SERVE HEALTHCARE SOLUTIONS LLC DBA ELITE2SERVE COMMUNITY TRANSITIONAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 SENTRY PKWY E STE 301
BLUE BELL PA
19422-2312
US

IV. Provider business mailing address

325 SENTRY PKWY E STE 301
BLUE BELL PA
19422-2312
US

V. Phone/Fax

Practice location:
  • Phone: 888-855-3019
  • Fax:
Mailing address:
  • Phone: 888-855-3019
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State

VIII. Authorized Official

Name: MS. KHADIJAH HAMIDULLAH
Title or Position: OWNER
Credential:
Phone: 888-855-3019