Provider Demographics
NPI:1053098160
Name:ELSA HOME HEALTH
Entity type:Organization
Organization Name:ELSA HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WILSON
Authorized Official - Middle Name:MUSORO
Authorized Official - Last Name:NGWEFANG
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:302-345-3983
Mailing Address - Street 1:1013 25TH ST SE
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:IA
Mailing Address - Zip Code:50009-7830
Mailing Address - Country:US
Mailing Address - Phone:302-345-3983
Mailing Address - Fax:
Practice Address - Street 1:1013 25TH ST SE
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:IA
Practice Address - Zip Code:50009-7830
Practice Address - Country:US
Practice Address - Phone:302-345-3983
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-30
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No251E00000XAgenciesHome Health