Provider Demographics
NPI:1548673411
Name:ELITE CARE HOME HEALTH AGENCY, INC.
Entity type:Organization
Organization Name:ELITE CARE HOME HEALTH AGENCY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:YIP
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:650-273-1184
Mailing Address - Street 1:533 AIRPORT BLVD STE 315
Mailing Address - Street 2:
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-2041
Mailing Address - Country:US
Mailing Address - Phone:650-273-1184
Mailing Address - Fax:650-273-0313
Practice Address - Street 1:533 AIRPORT BLVD STE 315
Practice Address - Street 2:
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-2041
Practice Address - Country:US
Practice Address - Phone:650-273-1184
Practice Address - Fax:650-273-1233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-08
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health