Elevation Medical Supply, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ELEVATION MEDICAL SUPPLY, LLC

Practice address

140 Talamine CT
Colorado Springs, CO 80907-5176

Phone

(719) 473-8464

NPI assigned

May 17, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jamie HouseNPI 1205816782

Title

Chief Executive Officer

Phone

(719) 473-8464

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jamie Glen House, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Coeur D Alene, ID
  • NPI 1205816782
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463443200000",
    "number": "1013364330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 TALAMINE CT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 TALAMINE CT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075176",
            "telephone_number": "719-473-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATION MEDICAL SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-17",
        "last_updated": "2016-05-17",
        "status": "A",
        "authorized_official_last_name": "HOUSE",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "719-473-8464",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elevated Clinical Practice Consulting LLC
• Elevated Family Care LLC
• Elevated Family Wellness PLLC
• Elevation Endodontics, PLLC
• Elevation Health Group
• Elevation Rehabilitation Services
• Elevation Surgical Assisting, LLC
• Eleven Six Counseling Inc
• Nora Elfiky
• Isabel Victoria Elias

• Durable Medical Equipment & Medical Supplies in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Durable Medical Equipment & Medical Supplies in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.