Elite Home Care, Inc.
Organization Active NPI Home Health Agency · Acton, CA
NPI 1326207655 · NPPES record last updated Dec 7, 2020
Key facts
- NPI
- 1326207655
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 550000624 (CA)
- Legal business name
- ELITE HOME CARE, INC.
- Practice address
- 3807 Sierra Hwy
Suite #207
Acton, CA 93510-1255 - Phone
- (661) 269-2279
- Fax
- (661) 269-2026
- NPI assigned
- Jun 2, 2008
- Organization subpart
- No
Authorized official
- Name
- Ms. Tetyana Ustynova, RN
- Title
- Administrator
- Phone
- (661) 269-2279
Practitioners 1
-
Tetyana Ustynova, RN
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1066427 | Elite Home Care Inc | Certificate of waiver | Mar 22, 2027 |
National Provider Directory
Locations
3807 Sierra Hwy
Ste 207
Acton, CA 93510
Phone (661) 269-2279
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 550000624 | CA | Yes |
Addresses
Primary practice location
3807 Sierra Hwy
Suite #207
Acton, CA 93510-1255
Mailing address
3807 Sierra Hwy
Suite #207
Acton, CA 93510-1255
Phone (661) 794-3728
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.