Organization Active NPI

Elite Home Health Care Inc.

  • Home Health Agency
  • Jenkintown, PA
National Provider Identifier
1821164294
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
80370501 Issued in PA
Legal business name
ELITE HOME HEALTH CARE INC.
Practice address
100 West Ave Ste 910S
Jenkintown, PA 19046-2642
Phone
(215) 245-2131
Fax
(215) 245-3484
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Authorized official

Name
Annette FreyNPI 1558872150
Title
Administrator
Phone
(215) 245-2131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X
Licensed Practical NurseGroup: 193200000X MULTI-SPECIALTY GROUP 164W00000X
Home Health Agency 251E00000X 80370501 PA Primary

Addresses

Primary practice location

100 West Ave Ste 910S
Jenkintown, PA 19046-2642

Mailing address

100 West Ave Ste 910
Jenkintown, PA 19046-2642
Phone (215) 245-2131

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050627001124 PA Part A Provider - Home Health Agency 4284679556 Practice locations: Jenkintown, PA

Home health agency certification: CCN 398037

Legal name
ELITE HOME HEALTH CARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 6, 2005
Last certification
May 14, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Dec 6, 2005 in PA
Enrollment address
100 West Ave
Ste 910S
Jenkintown, PA 19046-2642

Care Compare: Home health agency

Medicare Care Compare
Listed as
Elite Home Health Care IncCCN 398037
Ownership
Proprietary
Certified
Dec 6, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide

National Provider Directory

National Provider Directory

Locations

2433 Huntingdon Pike
Huntingdon Valley, PA 19006
Phone (267) 684-6736

100 West Ave
Ste 910
Jenkintown, PA 19046

5500 Tabor Ave
Ste 301
Philadelphia, PA 19120
Phone (215) 906-1932

1310 Industrial Blvd
Southampton, PA 18966
Phone (267) 918-0743

826 Bustleton Pike
Ste 201A
Trevose, PA 19053

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
Lina M Lopez Individual Corporate DirectorSecretary/Program Director Dec 19, 2016
W-2 Managing EmployeeSecretary/Program Director Dec 19, 2016
Annette V Frey Individual 5% Or Greater Direct Ownership Interest May 22, 2008 100%
Corporate OfficerBoard Member May 22, 2008
Corporate DirectorBoard Member Owner May 22, 2008
W-2 Managing EmployeeBoard Member May 22, 2008

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1821164294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WEST AVE STE 910",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462642",
            "telephone_number": "215-245-2131",
            "fax_number": "215-245-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WEST AVE STE 910S",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462642",
            "telephone_number": "215-245-2131",
            "fax_number": "215-245-3484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE HOME HEALTH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "FREY",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "215-245-2131"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "80370501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenkintown, PA

Sources for this page

Verify at the official NPI Registry.