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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