# ELITE CARE PROVIDERS LLC

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

## Provider details

- **NPI number:** 1760150353
- **Authorized official:** REN CHELSEA LOPEZ (MANAGER)
- **Authorized official phone:** (909) 551-1838

## Contact information

- **Practice address:** 22600 LAMBERT ST STE 1002, LAKE FOREST, CA 92630-1622
- **Practice address phone:** (949) 482-2882
- **Mailing address:** 21545 VINTAGE WAY, LAKE FOREST, CA 92630-5758

## Taxonomy

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

## Other

- **Enumeration date:** 08/31/2021
- **Last updated:** 08/31/2021