ELITE HOME HEALTH CARE INC (NPI# 1174997746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174997746 |
| Entity Type | Organization |
| Organization Name | ELITE HOME HEALTH CARE INC |
| Practice Address |
829 S. Greenbay Road Suite 110 Mt Pleasant WI 53406-4058 |
| Practice Telephone | 2622211270 |
| Practice Fax Number | 2624566100 |
| Mailing Telephone | 2622211270 |
| Mailing Fax Number | 2624566100 |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2016-09-27 |
| Authorized Official Name | LISA WILCKENS (ADMINISTRATOR) |
| Authorized Official Telephone | 2622211270 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 1193 | WI | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | HOME HEALTH LICENSE | 1193 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912983610 | Elite Home Health Care Inc | Home Health | 3100 Dundee Rd, Suite 304, Northbrook, IL 60062-2459 | 2005-12-15 |
| 1821512278 | Elite Home Health Care Inc | Home Health | 42 Waterton Dr, Bear, DE 19701-4918 | 2017-07-27 |
| Street Address |
829 S. GREENBAY ROAD SUITE 110 |
| City | MT PLEASANT |
| State | WI |
| Zip Code | 53406-4058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164349 | Lynn Huynh | Pharmacist | 5695 Washington Ave, Racine, WI 53406 | 2020-11-06 |
| 1659920049 | Carol Jean Cornejo | Technician | 6528 Heritage Avenue, Mt Pleasant, WI 53406 | 2019-09-09 |
| 1265913958 | Mary Goldbeck | Social Worker | 1775 Newman Rd, Mt Pleasant, WI 53406 | 2018-08-22 |
| 1669963344 | Kelly Nicole Nelson | Registered Nurse | 8800 Washington Ave Ste 200, Mount Pleasant, WI 53406 | 2018-05-29 |
| 1891212163 | Ilona Agata Pryomski | Nurse Practitioner | 9201 Washington Ave, Racine, WI 53406 | 2017-08-27 |
| 1386185106 | Margaret M. Abaogye Dds | Dentist | 4340 Newman Rd., Racine, WI 53406 | 2017-03-13 |
| 1508309212 | Rebecca Koeppen | Dietitian, Registered | 8400 Washington Ave., Racine, WI 53406 | 2016-11-29 |
| 1386194371 | Forefront Dermatology, S.c. | Dermatology | 7200 Washington Ave, Suite 100, Mount Pleasant, WI 53406 | 2016-10-13 |
| 1356891402 | Forefront Dermatology, S.c. | Dermatology | 1515 S Green Bay Rd, Racine, WI 53406 | 2016-10-12 |
| 1861841470 | Leah Marie Johnson | Dentist | 1101 South Airline Road, Racine, WI 53406 | 2016-06-06 |
| Find all providers in zip 53406 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033717988 | Denice Kay Pearson-libby | Home Health | 101 S Cherry St Ste 102, Mt Pleasant, IA 52641-1964 | 2020-10-13 |
| 1114164605 | Sandpiper Home Health | Home Health | 1224 Village Creek Ln Apt B1, Sandpiper Retirment Community, Mt Pleasant, SC 29464-3159 | 2009-01-21 |
| 1457537664 | Outreach Health Community Care Services, Lp | Home Health | 2605 W Ferguson Rd, Mt Pleasant, TX 75455-2002 | 2008-01-17 |
| 1821289729 | Hnb Home Health Agency, Inc | Home Health | 406 W 2nd St, Mt Pleasant, TX 75455-3841 | 2007-08-06 |
| 1043422066 | Family Home Health Care Services Inc | Home Health | 2266 Enterprise Dr Ste 3, Mt Pleasant, MI 48858-2344 | 2007-05-03 |
| 1154482412 | Texas Helping Hands, Inc | Home Health | 116 E 3rd St, Mt Pleasant, TX 75455-4017 | 2006-12-12 |
| 1952417032 | Champion Home Health Services | Home Health | 501 Fleming Dr, Mt Pleasant, TX 75455-5436 | 2006-08-22 |
| 1386662930 | Mclaren Health Management Group | Home Health | 501 S Mission St, Mt Pleasant, MI 48858-2869 | 2006-07-18 |
| 1477556827 | Chambers Home Health Agency of Northeast Texas Company | Home Health | 201 W 20th St Ste 102, Mt Pleasant, TX 75455-2325 | 2005-05-31 |
| 1205494705 | Schneider Therapy Services LLC | Home Health | 2760 Gaston Gate, Mt Pleasant, SC 29466-7925 | 2019-05-31 |
| Find all providers in MT PLEASANT | ||||
| City | MT PLEASANT |
| Zip Code | 53406 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.