Organization
ELITE P.S LLC
Active
Other names
ELITE PS LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TINA M REDMOND MA (MANAGING MEMBER)
(702) 513-8061
Entity
Organization
Contact information
Practice address
2118 S 17TH ST, LAS VEGAS, NV 89104-3530
(702) 513-8061
Mailing address
2118 S 17TH ST, LAS VEGAS, NV 89104-3530
(702) 513-8061
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
163WH0200X
Home Health Registered Nurse
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
05/14/2022
Last updated
05/14/2022
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