# ELEVATE SENIORS PLLC

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

## Provider details

- **NPI number:** 1851796304
- **Authorized official:** DR. WALTER N SIMMONS MD, MPH, FACEP (CHIEF MEDICAL OFFICER)
- **Authorized official phone:** (480) 398-5555

## Contact information

- **Practice address:** 10320 W MCDOWELL RD STE N1444, AVONDALE, AZ 85392-4879
- **Practice address phone:** (866) 888-7078
- **Mailing address:** 10320 W MCDOWELL RD, SUITE N1444, AVONDALE, AZ 85392-4863
- **Mailing address phone:** (480) 398-5555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 10/27/2014
- **Last updated:** 06/22/2015