Provider Demographics
NPI:1730613878
Name:ELITE NURSING CARE SERVICES
Entity type:Organization
Organization Name:ELITE NURSING CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:KADIJAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SKEIKY
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:571-247-3366
Mailing Address - Street 1:17717 AVENEL LN
Mailing Address - Street 2:DUMFRIES
Mailing Address - City:DUMFRIES
Mailing Address - State:VA
Mailing Address - Zip Code:22026-4569
Mailing Address - Country:US
Mailing Address - Phone:571-247-3366
Mailing Address - Fax:703-372-2492
Practice Address - Street 1:9222 LEE MASEY DR
Practice Address - Street 2:
Practice Address - City:LORTON
Practice Address - State:VA
Practice Address - Zip Code:22079-4709
Practice Address - Country:US
Practice Address - Phone:571-247-3366
Practice Address - Fax:703-372-2492
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-15
Last Update Date:2017-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health