Organization
ELITE PROFESSIONALS HOME CARE LLC
Active
Parent organization
ELITE PROFESSIONALS HOME CARE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELITE PROFESSIONALS HOME CARE LLC
Authorized official
JENNIFER K GIBBONS (PRESIDENT)
(402) 464-2422
Entity
Organization
Contact information
Practice address
2127 E 23RD AVE S, FREMONT, NE 68025-2465
(402) 704-2031
(402) 704-2032
Mailing address
3901 FAULKNER DR, LINCOLN, NE 68516-4738
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025122700
—
NE
Enumeration date
10/18/2017
Last updated
10/18/2017
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