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General NPI Number Information
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NPI Number | 1710896717
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Entity Type | Organization
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Legal Business Name | ELITECARE HEALTHSERVICES LLC
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Dates
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Enumeration Date | 09/04/2026
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Last Update Date | 09/04/2026
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Provider Practice Location Address
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Address Line | 909 HILL ST
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City | PRATTVILLE
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State | AL
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Zip | 36067-4835
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Country | US
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Telephone | 404-883-1575
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Fax | 504-569-5753
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Provider Business Mailing Address
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Address Line | 6602 DEKEON DR
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City | ATLANTA
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State | GA
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Zip | 30349-8862
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Country | US
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Telephone | 404-883-1575
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Fax | 504-569-5753
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Authorized Official
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Title or Position | ADMINISTRATIVE DIRECTOR
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Name | LAKITA RUSHING
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Credential |
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Telephone | 404-883-1575
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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