Organization Active NPI

Elevate Home Health, LLC

  • Home Health Agency
  • Long Beach, CA
National Provider Identifier
1669893715
Registry record updated Aug 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
550000481 Issued in CA
Legal business name
ELEVATE HOME HEALTH, LLC
Practice address
201 Covina Ave
Suite 3
Long Beach, CA 90803-1843
Phone
(800) 880-1405
Fax
(866) 379-7509
NPI assigned
Dec 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2015

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

Authorized official

Name
Carol Sparks
Title
Director of Reimbursement
Phone
(949) 349-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 550000481 CA Primary

Addresses

Primary practice location

201 Covina Ave
Suite 3
Long Beach, CA 90803-1843

Mailing address

201 Covina Ave
Suite 3
Long Beach, CA 90803-1843
Phone (800) 880-1405

Other identifiers 1

IdentifierTypeStateIssuer
HHA08407FMedicaidCA

Other names 1

  • Elevate Home Health Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

201 Covina Ave
Ste 3
Long Beach, CA 90803
Phone (800) 880-1405

201 Covina Ave
Ste 4
Long Beach, CA 90803
Phone (562) 438-3181

6202 Constitution Dr
Ste C
Fort Wayne, IN 46804
Phone (260) 459-2907

NPI Registry JSON

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

{
    "created_epoch": "1387152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438905600000",
    "number": "1669893715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 COVINA AVE",
            "address_2": "SUITE 3",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908031843",
            "telephone_number": "800-880-1405",
            "fax_number": "866-379-7509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 COVINA AVE",
            "address_2": "SUITE 3",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908031843",
            "telephone_number": "800-880-1405",
            "fax_number": "866-379-7509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-16",
        "last_updated": "2015-08-07",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "949-349-1200"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550000481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA08407F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elevate Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; 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.