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NPI Code Detail

MEDICARE: ELITE HOMECARE INC

MEDICARE: ELITE HOMECARE 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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1477753424
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELITE HOMECARE INC
Provider Business Mailing Address
First Line : 3312 LONG BEACH RD
Second Line :
City : OCEANSIDE
State : NY
Zip : 11572-5048
Country : US
Telephone Number : 516-536-5509
Fax Number : 516-536-5887
Provider Business Practice Location Address
First Line : 3312 LONG BEACH RD
Second Line :
City : OCEANSIDE
State : NY
Zip : 11572-5048
Country : US
Telephone Number : 516-536-5509
Fax Number : 516-536-5887
Authorized Official
Title or Position : VICE PRESIDENT
Name : ROBERT FENDRICH A
Credential :
Telephone Number : 516-536-5509
Provider Enumeration Date : 07/18/2007
Last Update Date : 07/18/2007

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Directions to “ELITE HOMECARE INC ” Practice Location

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