Healthcare Provider Details

I. General information

NPI: 1285019745
Provider Name (Legal Business Name): ELITE CARE AND STAFFING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2015
Last Update Date: 10/02/2024
Certification Date: 10/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39 S CHESTER PIKE
GLENOLDEN PA
19036-1830
US

IV. Provider business mailing address

39 S CHESTER PIKE
GLENOLDEN PA
19036-1830
US

V. Phone/Fax

Practice location:
  • Phone: 484-452-6408
  • Fax:
Mailing address:
  • Phone: 484-452-6408
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number28023601
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. OLIVE F BAIMBA
Title or Position: PRESIDENT
Credential:
Phone: 484-452-6408