Elevated Care LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

ELEVATED CARE LLC

Doing business as

Courtly Home

Practice address

23511 Marine View Dr S
Des Moines, WA 98198-7351

Phone

(206) 395-4748

NPI assigned

Jan 6, 2023

Organization subpart

No

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

Authorized official

Name

Joshua Le, DO

Title

Physician

Phone

(206) 395-4748

Specialties & licenses 2

Addresses

Other names 1

• Courtly Home Doing business as

Tax ID family

Courtly Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Elevated Care LLC

  • Registered Nurse
  • Des Moines, WA
  • NPI 1699460378
  NPD tax ID

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

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1679287486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23511 MARINE VIEW DR S",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981987351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23511 MARINE VIEW DR S",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981987351",
            "telephone_number": "206-395-4748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATED CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-06",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "206-395-4748",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Courtly Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Courtly Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Donovan
• Shamis Dore
• Yun Duan, PT
• Michael Duong, D.M.D.
• Elaine Y Chang, MD, Inc
• Elevated Care LLC
• Esther Eligio
• Encompass Physical Therapy PLLC
• Freshta Baher Engel
• Siri Erickson

• Adult Care Home Facility in Des Moines, WA
• Providers in Des Moines, WA by specialty
• Adult Care Home Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.