MEDICARE: ELITE CARE HOME HEALTH LLC

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	7389HHA-0	NV

General Provider Information

NPI Number	:	1255694535
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELITE CARE HOME HEALTH LLC

Provider Business Mailing Address
First Line	:	5024 ALTA DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89107-3927
Country	:	US
Telephone Number	:	702-979-9060
Fax Number	:	702-979-9820

Provider Business Practice Location Address
First Line	:	5024 ALTA DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89107-3927
Country	:	US
Telephone Number	:	702-979-9060
Fax Number	:	702-979-9820

Authorized Official
Title or Position	:	ADMINISTRATOR/DIRECTOR OF NURSING
Name	:	MRS. ROSEMINDA DE CHAVEZ MONTERO
Credential	:	RN
Telephone Number	:	702-979-9060

Provider Enumeration Date	:	06/21/2012
Last Update Date	:	09/03/2023

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Directions to “ELITE CARE HOME HEALTH LLC ” Practice Location

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