Healthcare Provider Details

I. General information

NPI: 1093622029
Provider Name (Legal Business Name): ELKA HOME SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13640 ADEN RD
NOKESVILLE VA
20181-2815
US

IV. Provider business mailing address

13640 ADEN RD
NOKESVILLE VA
20181-2815
US

V. Phone/Fax

Practice location:
  • Phone: 301-793-0224
  • Fax: 443-450-6203
Mailing address:
  • Phone: 301-793-0224
  • Fax: 443-450-6203

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code276400000X
TaxonomySubstance Use Disorder Rehabilitation Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: LARRY TANSINDA
Title or Position: CEO
Credential:
Phone: 301-793-0224