NPIMap

Organization Active NPI

Elite Home Health Services LLC

  • Home Health Agency
  • Fort Lauderdale, FL
National Provider Identifier
1508137761
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ELITE HOME HEALTH SERVICES LLC
Practice address
2691 E Oakland Park Blvd Ste 403a
Fort Lauderdale, FL 33306-1621
Phone
(954) 267-9029
Fax
(954) 267-9049
NPI assigned
Jan 19, 2012
Last updated
May 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Authorized official

Name
Daniel Frazer
Title
Owner
Phone
(954) 267-9029

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2691 E Oakland Park Blvd Ste 403a
Fort Lauderdale, FL 33306-1621

Mailing address

2691 E Oakland Park Blvd Ste 403a
Fort Lauderdale, FL 33306-1621
Phone (954) 267-9029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120608000221 FL Part A Provider - Home Health Agency 6103080882 Practice locations: Ft Lauderdale, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508137761. Details of each certification follow.

Home health agency certification: CCN 103168

Legal name
ELITE HOME HEALTH SERVICES LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 19, 2012
Last certification
Sep 27, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Nov 7, 2011 in FL
Enrollment address
2691 E Oakland Park Blvd
Ste 403a
Ft Lauderdale, FL 33306-1621

Care Compare: Home health agency

Medicare Care Compare
Listed as
Elite Home Health Services LLCCCN 103168 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Dec 19, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2037592Elite Home Health Services2691 East Oakland Park Blvd Ste 403a, Fort Lauderdale, FL 33306Certificate of waiverMar 1, 2028

National Provider Directory

National Provider Directory

Locations

2480 E Commercial Blvd
Ste 4
Ft Lauderdale, FL 33308
Phone (954) 267-9029

2691 E Oakland Park Blvd
Ste 403A
Ft Lauderdale, FL 33306
Phone (954) 267-9029

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Daniel Frazer Individual 5% Or Greater Direct Ownership Interest Aug 14, 2019 50%
Corporate Officer Nov 7, 2011 50%
W-2 Managing EmployeeCeo Nov 7, 2011 50%
Nhat-Huy John Nguyen Individual 5% Or Greater Direct Ownership Interest Aug 14, 2019 50%
Corporate OfficerCfo Nov 7, 2011 50%
W-2 Managing EmployeeCfo Nov 7, 2011 50%

Practitioners & affiliated clinicians

Affiliated clinicians 16

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620259200000",
    "number": "1508137761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2691 E OAKLAND PARK BLVD STE 403A",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061621",
            "telephone_number": "954-267-9029",
            "fax_number": "954-267-9049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2691 E OAKLAND PARK BLVD STE 403A",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061621",
            "telephone_number": "954-267-9029",
            "fax_number": "954-267-9049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE HOME HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-19",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A",
        "authorized_official_last_name": "FRAZER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-267-9029"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.