Active NPI
Elite Home Healthcare LLC
- Home Health Agency
- Bedford, IN
National Provider Identifier
1770955379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ELITE HOME HEALTHCARE LLC
- Practice address
- 157 Inman CT
Bedford, IN 47421-9628 - Phone
- (812) 278-4373
- NPI assigned
- Oct 22, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Deckard
- Title
- Member
- Phone
- (812) 278-4373
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | |||
| Administrator Registered Nurse | 163WA2000X | |||
| Home Health Registered Nurse | 163WH0200X | |||
| Home Health Agency | 251E00000X | Primary | ||
| Home Health Aide | 374U00000X |
Addresses
Primary practice location
157 Inman CT
Bedford, IN 47421-9628
Mailing address
PO Box 1105
Bedford, IN 47421-1105
National Provider Directory
National Provider DirectoryLocations
1009 14th St
Bedford, IN 47421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445472000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1445472000000",
"number": "1770955379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1105",
"city": "BEDFORD",
"state": "IN",
"postal_code": "474211105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "157 INMAN CT",
"city": "BEDFORD",
"state": "IN",
"postal_code": "474219628",
"telephone_number": "812-278-4373"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE HOME HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-22",
"last_updated": "2015-10-22",
"status": "A",
"authorized_official_last_name": "DECKARD",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "812-278-4373"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WA2000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Administrator",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bedford, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.