Organization
ELEVATED SUPPORTS, LLC
Active
Other names
Elevated Supports
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE R NEWSOM (EXECUTIVE DIRECTOR)
(720) 256-5191
Entity
Organization
Contact information
Practice address
637 TERRY STREET, LONGMONT, CO 80501
(720) 256-5191
Mailing address
PO BOX 212, LONGMONT, CO 80502-0212
(720) 256-5191
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
68217561
—
CO
Enumeration date
09/04/2016
Last updated
07/07/2021
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