# ELITE HEALTH CARE PROVIDERS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053570614
- **Authorized official:** MRS. BERNADETTE CAGOCO JUMALON-ARENDOVICH REGISTERED NURSE (ADMINISTRATOR)
- **Authorized official phone:** (815) 836-8100

## Contact information

- **Practice address:** 913 S STATE ST, SUITE 2, LOCKPORT, IL 60441-3613
- **Practice address phone:** (815) 836-8100
- **Practice address fax:** (815) 838-9188
- **Mailing address:** 913 S STATE ST, SUITE 2, LOCKPORT, IL 60441-3613
- **Mailing address phone:** (815) 836-8100
- **Mailing address fax:** (815) 838-9188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1010863 | IL | Yes |

## Other

- **Enumeration date:** 06/08/2008
- **Last updated:** 06/08/2010