NPIMap

Organization Active NPI

Elevated Excellence

  • In Home Supportive Care Agency
  • Country Club Hills, IL
National Provider Identifier
1073106092
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ELEVATED EXCELLENCE
Doing business as
Elevated Excellence
Practice address
17231 Coventry LN
Country Club Hills, IL 60478-4632
Phone
(708) 799-7919
NPI assigned
Feb 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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

Authorized official

Name
Mrs. Veronica Kiarie, RNNPI 1376131466
Title
Director/Operating Manager
Phone
(708) 799-7919

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Meals Provider 174200000X
Lodging Provider 177F00000X
Developmentally Disabled Services Day Training Agency 251C00000X
In Home Supportive Care Agency 253Z00000X Primary
Assisted Living Facility 310400000X
Respite Care 385H00000X

Addresses

Primary practice location

17231 Coventry LN
Country Club Hills, IL 60478-4632

Mailing address

17231 Coventry LN
Country Club Hills, IL 60478-4632
Phone (708) 799-7919

Other names 1

  • Elevated Excellence Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address veronica.kiarie@vonshealthcarestaffing.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613692800000",
    "number": "1073106092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17231 COVENTRY LN",
            "city": "COUNTRY CLUB HILLS",
            "state": "IL",
            "postal_code": "604784632",
            "telephone_number": "708-799-7919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17231 COVENTRY LN",
            "city": "COUNTRY CLUB HILLS",
            "state": "IL",
            "postal_code": "604784632",
            "telephone_number": "708-799-7919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATED EXCELLENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-19",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A",
        "authorized_official_last_name": "KIARIE",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "DIRECTOR/OPERATING MANAGER",
        "authorized_official_telephone_number": "708-799-7919",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "veronica.kiarie@vonshealthcarestaffing.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "17231 Coventry Ln",
            "city": "Country Club Hills",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604784632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Elevated Excellence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Country Club Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.