Organization
ELITE SUPPORT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LETICIA SANCHEZ (CEO)
(786) 266-9057
Entity
Organization
Contact information
Practice address
10300 SW 72ND ST STE 182, MIAMI, FL 33173-3002
(786) 266-9057
Mailing address
10180 SW 28TH ST, MIAMI, FL 33165-2956
(786) 266-9057
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0499593517345
FL
251J00000X
Nursing Care Agency
0499593517345
FL
385H00000X
Respite Care
0499593517345
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1067201
—
FL
05
—
229699
—
FL
05
—
683629103
—
FL
05
—
683629104
—
FL
05
—
683629105
—
FL
05
—
683629196
—
FL
05
—
683629198
—
FL
Enumeration date
04/14/2008
Last updated
08/24/2021
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