Provider Demographics
NPI:1871465518
Name:HOUSE OF ELI LLC
Entity type:Organization
Organization Name:HOUSE OF ELI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YHANEKA
Authorized Official - Middle Name:L
Authorized Official - Last Name:KILPATRICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-315-7936
Mailing Address - Street 1:6715 W PHILADELPHIA DR
Mailing Address - Street 2:
Mailing Address - City:MCCORDSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46055-9490
Mailing Address - Country:US
Mailing Address - Phone:317-315-7936
Mailing Address - Fax:317-315-7936
Practice Address - Street 1:6715 W PHILADELPHIA DR
Practice Address - Street 2:
Practice Address - City:MCCORDSVILLE
Practice Address - State:IN
Practice Address - Zip Code:46055-9490
Practice Address - Country:US
Practice Address - Phone:317-315-7936
Practice Address - Fax:317-315-7936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-22
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty