MEDICARE: ELITE HOME HEALTH CARE, 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	332B00000X	Durable Medical Equipment & Medical Supplies	962	FL
2	332BX2000X	Oxygen Equipment & Supplies (DME)	962	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	R7533	OTHER		BLUE CROSS

General Provider Information

NPI Number	:	1972608024
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELITE HOME HEALTH CARE, INC.

Provider Business Mailing Address
First Line	:	706 W LUMSDEN RD
Second Line	:
City	:	BRANDON
State	:	FL
Zip	:	33511-6260
Country	:	US
Telephone Number	:	813-654-2415
Fax Number	:	813-651-9085

Provider Business Practice Location Address
First Line	:	706 W LUMSDEN RD
Second Line	:
City	:	BRANDON
State	:	FL
Zip	:	33511-6260
Country	:	US
Telephone Number	:	813-654-2415
Fax Number	:	813-651-9085

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. MARGARET DIANNE DAVIS
Credential	:
Telephone Number	:	813-654-2415

Provider Enumeration Date	:	09/13/2006
Last Update Date	:	09/11/2025

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Directions to “ELITE HOME HEALTH CARE, INC. ” Practice Location

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