Elite Home Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ELITE HOME CARE, LLC

Practice address

16012 S Western Ave Ste 306
Gardena, CA 90247-3763

Phone

(310) 819-8744

NPI assigned

Nov 7, 2022

Organization subpart

No

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

Authorized official

Name

Ezinne Chukwudi

Title

Owner

Phone

(310) 347-9991

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1316654643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16012 S WESTERN AVE STE 306",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16012 S WESTERN AVE STE 306",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473763",
            "telephone_number": "310-819-8744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-05",
        "status": "A",
        "authorized_official_last_name": "CHUKWUDI",
        "authorized_official_first_name": "EZINNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-347-9991"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaddy Mazen El Sabbagh
• Nykia Elcan
• Andrew Elenburg
• Sharon Esther Elias
• Stephanie Elias
• Annette Elizarraraz
• Daysi Elizarraraz
• Nayelly Berenice Elizondo, BCBA
• Ava Elliott
• Lee Sa Em

• In Home Supportive Care Agency in Gardena, CA
• Providers in Gardena, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.