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General NPI Number Information
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NPI Number | 1053657148
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Entity Type | Organization
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Legal Business Name | ELITE CARE, INC.
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Dates
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Enumeration Date | 12/18/2012
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Last Update Date | 10/10/2023
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Provider Practice Location Address
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Address Line | 715 HORIZON DR STE 390
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City | GRAND JUNCTION
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State | CO
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Zip | 81506-8700
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Country | US
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Telephone | 970-208-8359
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Fax | 970-208-8360
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Provider Business Mailing Address
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Address Line | 715 HORIZON DR STE 390
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City | GRAND JUNCTION
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State | CO
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Zip | 81506-8700
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Country | US
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Telephone | 970-208-8359
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Fax | 970-208-8360
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Authorized Official
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Title or Position | OWNER AND ADMINISTRATOR
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Name | SARAH ANDREWS
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Credential | RN
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Telephone | 970-208-8359
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 04L583
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License Number State | CO
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