MEDICARE: ELITAIR CARE HOME HEALTH AGENCY, INC.

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	010393	TX

General Provider Information

NPI Number	:	1467514174
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELITAIR CARE HOME HEALTH AGENCY, INC.

Provider Business Mailing Address
First Line	:	3243 DALMATIAN DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77045-6517
Country	:	US
Telephone Number	:	713-413-9916
Fax Number	:	713-413-3349

Provider Business Practice Location Address
First Line	:	3243 DALMATIAN DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77045-6517
Country	:	US
Telephone Number	:	713-413-9916
Fax Number	:	713-413-3349

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. ZELETA PRICE
Credential	:
Telephone Number	:	832-758-9962

Provider Enumeration Date	:	12/16/2006
Last Update Date	:	08/22/2020

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