Active NPI
5280 Elevated Home Care LLC
- Custodial Care Facility
- Englewood, CO
National Provider Identifier
1659946051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Custodial Care Facility
- Legal business name
- 5280 ELEVATED HOME CARE LLC
- Practice address
- 3108 W Hampden Ave Ste G
Englewood, CO 80110-3273 - Phone
- (303) 717-8037
- NPI assigned
- May 26, 2021
- Last updated
- May 26, 2021
- 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
- Mrs. Beth A Calix, RN, BSN
- Title
- Registered Nurse/Owner
- Phone
- (303) 717-8037
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Custodial Care Facility | 311Z00000X | Primary |
Addresses
Primary practice location
3108 W Hampden Ave Ste G
Englewood, CO 80110-3273
Mailing address
3108 W Hampden Ave Ste G
Englewood, CO 80110-3273
Phone (303) 717-8037
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000178955 | Medicaid | CO |
National Provider Directory
National Provider Directory- Tax ID family
- 5280 Elevated Home Care LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Denver, CO
- NPI 1508401001
Locations
3108 W Hampden Ave
Ste G
Englewood, CO 80110
Phone (303) 717-8037
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Home Health Registered Nurse
- Denver, CO
- NPI 1053960526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621987200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621987200000",
"number": "1659946051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3108 W HAMPDEN AVE STE G",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801103273",
"telephone_number": "303-717-8037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3108 W HAMPDEN AVE STE G",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801103273",
"telephone_number": "303-717-8037"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "5280 ELEVATED HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-26",
"last_updated": "2021-05-26",
"certification_date": "2021-05-26",
"status": "A",
"authorized_official_last_name": "CALIX",
"authorized_official_first_name": "BETH",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "REGISTERED NURSE/OWNER",
"authorized_official_telephone_number": "303-717-8037",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN, BSN"
},
"taxonomies": [
{
"code": "311Z00000X",
"taxonomy_group": "",
"desc": "Custodial Care Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000178955",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Englewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.