# ELITE CARE SERVICES, LLC

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

## Provider details

- **NPI number:** 1598454118
- **Authorized official:** CANDACE LOCKLAYER (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (615) 593-6581

## Contact information

- **Practice address:** 909 MEADOWLARK LN STE 2, GOODLETTSVILLE, TN 37072-2309
- **Practice address phone:** (615) 593-6581
- **Practice address fax:** (484) 952-4605
- **Mailing address:** 909 MEADOWLARK LN STE 2, GOODLETTSVILLE, TN 37072-2309
- **Mailing address phone:** (615) 593-6581
- **Mailing address fax:** (484) 952-4605

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/01/2023
- **Last updated:** 05/01/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | I000000022124 | DEPARTMENT OF INTELLECTUAL AND DEVELOPMENTAL DISABILITY SERVICES | TN |
