MEDICARE: ELITCARE GROUP OF NURSES

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	372600000X	Adult Companion
2	374U00000X	Home Health Aide
3	163W00000X	Registered Nurse
4	163WH0200X	Home Health Registered Nurse
5	164X00000X	Licensed Vocational Nurse
6	251E00000X	Home Health Agency
7	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1306739545
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELITCARE GROUP OF NURSES

Provider Business Mailing Address
First Line	:	3235 CORTINA DR
Second Line	:
City	:	BAY POINT
State	:	CA
Zip	:	94565-2567
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3235 CORTINA DR
Second Line	:
City	:	BAY POINT
State	:	CA
Zip	:	94565-2567
Country	:	US
Telephone Number	:	650-483-7269
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MELISSA LIPARDO
Credential	:	RN
Telephone Number	:	650-483-7269

Provider Enumeration Date	:	05/29/2025
Last Update Date	:	05/29/2025

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