Elevated Assisted Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ELEVATED ASSISTED LIVING, LLC

Practice address

14410 21St St N
West Lakeland, MN 55082-2514

Phone

(612) 770-3878

NPI assigned

Feb 23, 2019

Organization subpart

No

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

Authorized official

Name

David A Itman

Title

Owner/Ceo

Phone

(612) 770-3878

Specialties & licenses 1

Addresses

Other names 1

• Project Caring Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1550880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550880000000",
    "number": "1144787441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7672 W 84TH ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554381304",
            "telephone_number": "612-770-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14410 21ST ST N",
            "city": "WEST LAKELAND",
            "state": "MN",
            "postal_code": "550822514",
            "telephone_number": "612-770-3878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATED ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-23",
        "last_updated": "2019-02-23",
        "status": "A",
        "authorized_official_last_name": "ITMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "612-770-3878"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Project Caring",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John K McAlpine, PH.D., LP
• Susan Michelle Schultz, OTR/L

• Assisted Living Facility in West Lakeland, MN
• Providers in West Lakeland, 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 Feb 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.