NPIMap

Organization Active NPI

Elevate Healthcare LLC

  • Methadone Clinic
  • Pueblo, CO
National Provider Identifier
1184489502
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
ELEVATE HEALTHCARE LLC
Practice address
219 W Northern Ave
Pueblo, CO 81004-3107
Phone
(719) 696-9027
Fax
(719) 582-2948
NPI assigned
Feb 15, 2024
Last updated
Feb 15, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
ELEVATE HEALTHCARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Authorized official

Name
Ursula Lynette Hollins, LAC MSW LPN
Title
Executive Director
Phone
(719) 696-9027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X NU Primary

Addresses

Primary practice location

219 W Northern Ave
Pueblo, CO 81004-3107

Mailing address

PO Box 291
Windsor, CO 80550-0291
Phone (719) 696-9027

National Provider Directory

National Provider Directory
Tax ID family
Elevate Healthcare LLC4 organizations share this tax ID, including this one
Part of
Elevate Healthcare LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

212 W 13th St
Pueblo, CO 81003
Phone (719) 470-1415

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1184489502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 291",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805500291",
            "telephone_number": "719-696-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 W NORTHERN AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043107",
            "telephone_number": "719-696-9027",
            "fax_number": "719-582-2948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE HEALTHCARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELEVATE HEALTHCARE LLC",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "HOLLINS",
        "authorized_official_first_name": "URSULA",
        "authorized_official_middle_name": "LYNETTE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "719-696-9027",
        "authorized_official_credential": "LAC MSW LPN"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.