Elite Health Care Providers, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1010863 Issued in IL

Legal business name

ELITE HEALTH CARE PROVIDERS, LLC

Practice address

913 S State St
Suite 2
Lockport, IL 60441-3613

Phone

(815) 836-8100

Fax

(815) 838-9188

NPI assigned

Jun 8, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Bernadette Cagoco Jumalon-Arendovich, REGISTERED NURSE

Title

Administrator

Phone

(815) 836-8100

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275955200000",
    "number": "1053570614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 S STATE ST",
            "address_2": "SUITE 2",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604413613",
            "telephone_number": "815-836-8100",
            "fax_number": "815-838-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 S STATE ST",
            "address_2": "SUITE 2",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604413613",
            "telephone_number": "815-836-8100",
            "fax_number": "815-838-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE HEALTH CARE PROVIDERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-08",
        "last_updated": "2010-06-08",
        "status": "A",
        "authorized_official_last_name": "JUMALON-ARENDOVICH",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_middle_name": "CAGOCO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "815-836-8100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thane Dykstra, PH.D.
• John J Dymowski, MD
• E a Devassy MD and Associates SC
• Early Abilities, Inc.
• Paul Frederic Edelson, MD
• Chris Robert Ellis, PTA
• Lisa Maureen Ely, RCP
• Emily M. McKenna, LLC
• Genevieve Enyart
• Merna Esily

• Home Health Agency in Lockport, IL
• Providers in Lockport, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.