MEDICARE: ELITE HOME CARE 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

General Provider Information

NPI Number	:	1427746940
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELITE HOME CARE LLC

Provider Business Mailing Address
First Line	:	214 N 16TH ST STE 214
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78501-7982
Country	:	US
Telephone Number	:	956-360-8775
Fax Number	:

Provider Business Practice Location Address
First Line	:	214 N 16TH ST STE 214
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78501-7982
Country	:	US
Telephone Number	:	956-360-8775
Fax Number	:

Authorized Official
Title or Position	:	OWNER/ADIM
Name	:	JAYNE LYNN MELENDEZ
Credential	:	RN
Telephone Number	:	956-360-8775

Provider Enumeration Date	:	04/25/2023
Last Update Date	:	10/10/2023

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