Elevation Home Care Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ELEVATION HOME CARE INC

Practice address

4904 70TH Ave W
University Place, WA 98467-3230

Phone

(235) 238-0547

Fax

(253) 238-0260

NPI assigned

Sep 19, 2023

Organization subpart

No

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

Authorized official

Name

Susan Muthoni Maimba, ADM

Title

Administrator

Phone

(253) 238-0547

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1053199281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4904 70TH AVE W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984673230",
            "telephone_number": "235-238-0547",
            "fax_number": "253-238-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4904 70TH AVE W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984673230",
            "telephone_number": "235-238-0547",
            "fax_number": "253-238-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATION HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "MAIMBA",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MUTHONI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "253-238-0547",
        "authorized_official_credential": "ADM"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim P Eckroth, OD
• Edward L Coyle PH.D. PLLC
• Dustin Edwards
• Thadra Clairpatra Edwards
• Zelia Ann Nalani Elam, BSW
• Elevation Psychological Services PLLC
• Marnee Lynn Ellis, LMP
• Ashley Elynn Elmer, LMP
• Almar May Alba Elmore, MAED, CCC-SLP
• Addison Marie Emberson, MSP

• In Home Supportive Care Agency in University Place, WA
• Providers in University Place, WA by specialty
• In Home Supportive Care Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.