MEDICARE: ELPITHA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1003639741
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELPITHA

Provider Business Mailing Address
First Line	:	450 TILTON RD STE 201
Second Line	:
City	:	NORTHFIELD
State	:	NJ
Zip	:	08225-1259
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	450 TILTON RD STE 201
Second Line	:
City	:	NORTHFIELD
State	:	NJ
Zip	:	08225-1259
Country	:	US
Telephone Number	:	609-241-0899
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	VOULA LIACOPULOS
Credential	:
Telephone Number	:	609-334-4466

Provider Enumeration Date	:	11/01/2024
Last Update Date	:	11/14/2024

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Directions to “ELPITHA ” Practice Location

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