Provider Demographics
NPI:1518858505
Name:ELITE HOMECARE COLLECTIVE
Entity type:Organization
Organization Name:ELITE HOMECARE COLLECTIVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SAMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:NASRAWI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-704-6654
Mailing Address - Street 1:41769 ENTERPRISE CIR N STE 204
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92590-5626
Mailing Address - Country:US
Mailing Address - Phone:951-297-7184
Mailing Address - Fax:951-517-0072
Practice Address - Street 1:41769 ENTERPRISE CIR N STE 204
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-5626
Practice Address - Country:US
Practice Address - Phone:951-297-7184
Practice Address - Fax:951-517-0072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care