Healthcare Provider Details

I. General information

NPI: 1821164294
Provider Name (Legal Business Name): ELITE HOME HEALTH CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 10/16/2023
Certification Date: 10/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 WEST AVE STE 910S
JENKINTOWN PA
19046-2642
US

IV. Provider business mailing address

100 WEST AVE STE 910
JENKINTOWN PA
19046-2642
US

V. Phone/Fax

Practice location:
  • Phone: 215-245-2131
  • Fax: 215-245-3484
Mailing address:
  • Phone: 215-245-2131
  • Fax: 215-245-3484

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number80370501
License Number StatePA

VIII. Authorized Official

Name: ANNETTE FREY
Title or Position: ADMINISTRATOR
Credential:
Phone: 215-245-2131