Organization
ELIM'S GATE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELIQUE OLUYITAN RN (PRESIDENT)
(937) 613-2550
Entity
Organization
Contact information
Practice address
130 W WENGER RD STE C3, ENGLEWOOD, OH 45322-2761
(937) 825-4618
Mailing address
130 W WENGER RD STE C3, ENGLEWOOD, OH 45322-2761
(937) 825-4618
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4000HHS
OHIO DEPARTMENT OF HEALTH
OH
Enumeration date
08/23/2024
Last updated
08/25/2025
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