Provider Demographics
NPI:1043621808
Name:ELITE COMFORT HOME HEALTH, LLC
Entity type:Organization
Organization Name:ELITE COMFORT HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLARISSIA
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-684-9182
Mailing Address - Street 1:1905 WHITE ROSE LN
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-3121
Mailing Address - Country:US
Mailing Address - Phone:214-684-9182
Mailing Address - Fax:
Practice Address - Street 1:1905 WHITE ROSE LN
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-3121
Practice Address - Country:US
Practice Address - Phone:214-684-9182
Practice Address - Fax:469-375-5391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-15
Last Update Date:2014-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX231E00000X251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health