E.L.E.V.a.T.E

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

E.L.E.V.A.T.E

Practice address

616 E 25TH St
Minneapolis, MN 55404-3704

Phone

(612) 353-5065

NPI assigned

Mar 9, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Tamuno Imbu Jr.

Title

Manager

Phone

(612) 272-6659

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1552089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1508324401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 WASHBURN AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554121822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 E 25TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043704",
            "telephone_number": "612-353-5065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5255 10th Ave S",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554171701",
            "country_code": "US",
            "telephone_number": "952-300-0673",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4339 Irving Ave N",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554121258",
            "country_code": "US",
            "telephone_number": "612-545-5045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "E.L.E.V.A.T.E",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-09",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "IMBU",
        "authorized_official_first_name": "TAMUNO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "612-272-6659",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.