Organization
ELEVATED HOME CARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN-PAUL WIRBA (ADMINISTRATOR/OWNER)
(316) 377-4840
Entity
Organization
Contact information
Practice address
5743 LASALLE WAY, SAN ANTONIO, TX 78253-5670
(316) 377-4840
(210) 477-3600
Mailing address
5743 LASALLE WAY, SAN ANTONIO, TX 78253-5670
(316) 377-4840
(210) 477-3600
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
05/18/2023
Last updated
09/19/2024
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