Organization
ELITE HOME HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL LOVELL (OWNER)
(602) 382-8500
Entity
Organization
Contact information
Practice address
2140 W GREENWAY RD, SUITE 100, PHOENIX, AZ 85023-4305
(602) 626-8462
(602) 626-5746
Mailing address
2999 N 44TH ST STE 100, PHOENIX, AZ 85018-7247
(602) 626-8462
(602) 626-5746
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
791834
—
AZ
01
—
HHA9450
STATE LICENSE
AZ
Enumeration date
08/27/2011
Last updated
08/13/2020
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