Organization Active NPI

Elite Home Health Care, LLC

  • Home Health Agency
  • Saint Louis, MO
National Provider Identifier
1093122764
Registry record updated Jul 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
LC97397636 Issued in MO
Legal business name
ELITE HOME HEALTH CARE, LLC
Practice address
625 N Euclid Ave Ste 320Ce
Saint Louis, MO 63108-1690
Phone
(314) 330-1964
NPI assigned
Jul 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2014

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

Authorized official

Name
Ms. Chequan Nicole Gully
Title
Owner
Phone
(314) 330-1964

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X LC97397636 MO Primary

Addresses

Primary practice location

625 N Euclid Ave Ste 320Ce
Saint Louis, MO 63108-1690

Mailing address

625 N Euclid Ave Ste 320Ce
Saint Louis, MO 63108-1690
Phone (314) 330-1964

National Provider Directory

National Provider Directory

Locations

625 N Euclid Ave
Ste 320CE
Saint Louis, MO 63108
Phone (314) 330-1964

NPI Registry JSON

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405382400000",
    "number": "1093122764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 N EUCLID AVE STE 320CE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631081690",
            "telephone_number": "314-330-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 N EUCLID AVE STE 320CE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631081690",
            "telephone_number": "314-330-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE HOME HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-07-15",
        "status": "A",
        "authorized_official_last_name": "GULLY",
        "authorized_official_first_name": "CHEQUAN",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-330-1964",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "LC97397636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; 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.