Active NPI
Elevate Home Health, LLC
- Home Health Agency
- Long Beach, CA
National Provider Identifier
1669893715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 550000481
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HHA08407F | Medicaid | CA |
Other names 1
- Elevate Home Health
National Provider Directory
National Provider DirectoryMember 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.