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Organization
ELITE CARE HOME
Active
Organization
ELITE CARE HOME
Active
Other names
Haven Home Care LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA RILEY (COO AND COOWNER)
(228) 918-9533
Entity
Organization
Contact information
Practice address
1520 29TH AVE STE 16, GULFPORT, MS 39501-2843
(228) 596-5911
Mailing address
1520 29TH AVE STE 16, GULFPORT, MS 39501-2843
(228) 596-5911
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
310400000X
Assisted Living Facility
—
—
315D00000X
Inpatient Hospice
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
07/30/2024
Last updated
04/07/2026
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