Elated Care L.L.C.

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

ELATED CARE L.L.C.

Practice address

9997 107TH Ave N
Maple Grove, MN 55369-2734

Phone

(612) 930-1655

Fax

(612) 486-9455

NPI assigned

Nov 27, 2017

Last updated

Dec 2, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Brandon Carter

Title

Ceo

Phone

(612) 930-1655

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606867200000",
    "number": "1437663507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9997 107TH AVE N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553692734",
            "telephone_number": "612-930-1655",
            "fax_number": "612-486-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9997 107TH AVE N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553692734",
            "telephone_number": "612-930-1655",
            "fax_number": "612-486-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELATED CARE L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-27",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-930-1655",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Aide in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.