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NPI Code Detail

MEDICARE: ELITE HOME CARE

MEDICARE: ELITE HOME CARE
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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1497590228
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELITE HOME CARE
Provider Business Mailing Address
First Line : 9266 ARBOR GLEN ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-2061
Country : US
Telephone Number : 818-930-0217
Fax Number :
Provider Business Practice Location Address
First Line : 4613 W DESERT INN RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-7116
Country : US
Telephone Number : 818-930-0217
Fax Number : 702-642-0554
Authorized Official
Title or Position : OWNER
Name : PAKAPON PAUL KRABUANRAT
Credential :
Telephone Number : 818-930-0217
Provider Enumeration Date : 06/25/2024
Last Update Date : 06/25/2024

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Directions to “ELITE HOME CARE ” Practice Location

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