# ELYSIUM ELEVATED HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164218590
- **Authorized official:** MISS SHANAE BAINES RN (OWNER)
- **Authorized official phone:** (773) 947-4649

## Contact information

- **Practice address:** 7951 W BEARDSLEY RD UNIT 15203, PEORIA, AZ 85382-2746
- **Practice address phone:** (773) 947-4649
- **Mailing address:** 7951 W BEARDSLEY RD UNIT 15203, PEORIA, AZ 85382-2746
- **Mailing address phone:** (773) 947-4649

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251F00000X | Home Infusion Agency | — | NULL | — |
| 251G00000X | Community Based Hospice Care Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 04/15/2025
- **Last updated:** 04/21/2026