Organization
ELEVATE COMMUNITY HEALTH
Active
Organization
ELEVATE COMMUNITY HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN TARASENKO (STRATEGIC DEVELOPMENT DIRECTOR)
(281) 540-0063
Entity
Organization
Contact information
Practice address
24721 TOMBALL PARKWAY SUITE 160, TOMBALL, TX 77375
(281) 540-0063
Mailing address
24721 TOMBALL PARKWAY SUITE 160, TOMBALL, TX 77375
(281) 540-0063
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
11/17/2023
Last updated
08/28/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up