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Organization
ELEVATE HOME HEALTH, LLC
Active
Organization
ELEVATE HOME HEALTH, LLC
Active
Other names
Home Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL SPARKS (DIRECTOR OF REIMBURSEMENT)
(949) 349-1200
Entity
Organization
Contact information
Practice address
6202 CONSTITUTION DR, SUITE C, FORT WAYNE, IN 46804-1583
(260) 459-2917
(260) 459-2894
Mailing address
27071 ALISO CREEK RD, SUITE 100, ALISO VIEJO, CA 92656-5327
(949) 349-1200
(949) 349-1122
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
06-004060-1
IN
Other
Enumeration date
12/30/2013
Last updated
12/30/2013
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