MEDICARE: 360 ELITE HEALTHCARE STAFFING

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	342000000X	Transportation Network Company
3	372600000X	Adult Companion
4	3747P1801X	Personal Care Attendant
5	385H00000X	Respite Care
6	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1811825003
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	360 ELITE HEALTHCARE STAFFING

Provider Business Mailing Address
First Line	:	3401 HARTZDALE DR STE 103B
Second Line	:
City	:	CAMP HILL
State	:	PA
Zip	:	17011-7229
Country	:	US
Telephone Number	:	717-315-3397
Fax Number	:

Provider Business Practice Location Address
First Line	:	1410 N 21ST ST
Second Line	:
City	:	HARRISBURG
State	:	PA
Zip	:	17109-3305
Country	:	US
Telephone Number	:	717-315-3397
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LATOYA EBONY WILLIAMS
Credential	:
Telephone Number	:	717-315-3397

Provider Enumeration Date	:	05/11/2026
Last Update Date	:	05/11/2026

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