Organization Active NPI

The Elevare Agency LLC

  • Community/Behavioral Health Agency
  • Glen Allen, VA
National Provider Identifier
1710866934
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THE ELEVARE AGENCY LLC
Practice address
11638 Old Mountain Rd
Glen Allen, VA 23059-1120
Phone
(804) 496-1725
NPI assigned
Sep 1, 2025
Last updated
Oct 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Authorized official

Name
Kareen Edwards
Title
Owner
Phone
(804) 496-1725

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

11638 Old Mountain Rd
Glen Allen, VA 23059-1120

Mailing address

9613 Palomine CT
Glen Allen, VA 23060-2430

National Provider Directory

National Provider Directory
Tax ID family
The Elevare Agency2 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.

NPI Registry JSON

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

{
    "created_epoch": "1756684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1710866934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9613 PALOMINE CT",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230602430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11638 OLD MOUNTAIN RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230591120",
            "telephone_number": "804-496-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ELEVARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-01",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "KAREEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-496-1725"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.