Provider Demographics
NPI:1578300877
Name:ELDERHILL LLC
Entity type:Organization
Organization Name:ELDERHILL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BLESSING
Authorized Official - Middle Name:
Authorized Official - Last Name:LEAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-758-1634
Mailing Address - Street 1:4640 FORBES BLVD STE 120H
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-6320
Mailing Address - Country:US
Mailing Address - Phone:240-758-1634
Mailing Address - Fax:
Practice Address - Street 1:4640 FORBES BLVD STE 120H
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-6320
Practice Address - Country:US
Practice Address - Phone:240-758-1634
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-12
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health