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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200491120A
—
IN
Enumeration date
12/30/2013
Last updated
12/30/2013
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