Provider Demographics
NPI:1285529651
Name:ELITE HOME CARE & HOUSING LLC
Entity type:Organization
Organization Name:ELITE HOME CARE & HOUSING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:KUDJOE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-912-4090
Mailing Address - Street 1:5507 NIGHTHAWK WAY
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46254-4771
Mailing Address - Country:US
Mailing Address - Phone:317-912-4090
Mailing Address - Fax:317-534-1139
Practice Address - Street 1:5507 NIGHTHAWK WAY
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46254-4771
Practice Address - Country:US
Practice Address - Phone:317-912-4090
Practice Address - Fax:317-534-1139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care