Elevation Home Healthcare Service Corporation

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ELEVATION HOME HEALTHCARE SERVICE CORPORATION

Practice address

5937 Colfax Ave N
Brooklyn Center, MN 55430-2736

Phone

(678) 301-8305

Fax

(763) 312-2299

NPI assigned

Aug 4, 2023

Organization subpart

No

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

Authorized official

Name

Samuel Simpson Barker

Title

Ceo/Administrator

Phone

(678) 301-8305

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1114609575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5615 BROOKLYN BLVD STE 200",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554293086",
            "telephone_number": "763-316-4128",
            "fax_number": "763-312-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5937 COLFAX AVE N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302736",
            "telephone_number": "678-301-8305",
            "fax_number": "763-312-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATION HOME HEALTHCARE SERVICE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "BARKER",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "SIMPSON",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "678-301-8305"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samira Egale
• Hodan Ege
• Lindsey Ann Surma Eierman, FNP
• El Care Services LLC
• Amber Eldredge Shaffer
• Elite Health Center
• Elite Nursing Services, Inc.
• Elizjoseph Behavioral Health, PLLC
• Elizjoseph Healthcare LLC
• Hibo Adan Elmi

• Assisted Living Facility in Brooklyn Center, MN
• Providers in Brooklyn Center, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.