MEDICARE: ELITE VETERAN HOME CARE LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	253Z00000X	In Home Supportive Care Agency
2	343900000X	Non-emergency Medical Transport (VAN)
3	385H00000X	Respite Care
4	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1538026323
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELITE VETERAN HOME CARE LLC

Provider Business Mailing Address
First Line	:	4606 CLOISTER CIR
Second Line	:
City	:	HAMPTON
State	:	GA
Zip	:	30228-3640
Country	:	US
Telephone Number	:	757-310-4791
Fax Number	:	757-310-4791

Provider Business Practice Location Address
First Line	:	4606 CLOISTER CIR
Second Line	:
City	:	HAMPTON
State	:	GA
Zip	:	30228-3640
Country	:	US
Telephone Number	:	757-310-4791
Fax Number	:	757-310-4791

Authorized Official
Title or Position	:	CEO
Name	:	MR. JAMES ORE III
Credential	:
Telephone Number	:	757-310-4791

Provider Enumeration Date	:	01/05/2026
Last Update Date	:	01/05/2026

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