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General NPI Number Information
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NPI Number | 1740630110
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Entity Type | Organization
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Legal Business Name | ELITE HOME REHAB AND HEALTHCARE CORP
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Dates
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Enumeration Date | 06/16/2016
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Last Update Date | 08/08/2023
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Provider Practice Location Address
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Address Line | 645 W CARMEL DR STE 115
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City | CARMEL
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State | IN
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Zip | 46032-2605
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Country | US
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Telephone | 317-325-8860
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Fax |
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Provider Business Mailing Address
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Address Line | 580 E CARMEL DR STE 208
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City | CARMEL
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State | IN
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Zip | 46032-2814
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Country | US
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Telephone | 317-325-8860
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MELISSA DICKE
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Credential |
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Telephone | 317-325-8860
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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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