Active NPI
Elevate Adult Wellness Club LLC
- Adult Day Care Clinic/Center
- Detroit, MI
National Provider Identifier
1497666465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- ELEVATE ADULT WELLNESS CLUB LLC
- Practice address
- 14110 Telegraph Rd
Detroit, MI 48239-2865 - Phone
- (623) 980-8107
- NPI assigned
- Sep 16, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kenneth Worthy II
- Title
- Executive Director
- Phone
- (623) 980-8107
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
14110 Telegraph Rd
Detroit, MI 48239-2865
Mailing address
5806 N 191St Dr
Litchfield Park, AZ 85340-5812
Phone (623) 980-8107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789516800000",
"number": "1497666465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5806 N 191ST DR",
"city": "LITCHFIELD PARK",
"state": "AZ",
"postal_code": "853405812",
"telephone_number": "623-980-8107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14110 TELEGRAPH RD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482392865",
"telephone_number": "623-980-8107"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELEVATE ADULT WELLNESS CLUB LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-16",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"status": "A",
"authorized_official_last_name": "WORTHY",
"authorized_official_first_name": "KENNETH",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "623-980-8107",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "II"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.