Organization Active NPI

Elevate Healthcare LLC

  • Methadone Clinic
  • Colorado Springs, CO
National Provider Identifier
1750100129
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
ELEVATE HEALTHCARE LLC
Practice address
3595 E Fountain Blvd Ste 245
Colorado Springs, CO 80910-7705
Phone
(719) 696-9027
NPI assigned
Oct 3, 2024
Organization subpart
Yes
Parent organization
ELEVATE HEALTHCARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Authorized official

Name
Ursula Lynette Hollins, LCSW, LAC LPN
Title
Executive Director
Phone
(719) 696-9027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X Primary

Addresses

Primary practice location

3595 E Fountain Blvd Ste 245
Colorado Springs, CO 80910-7705

Mailing address

PO Box 291
Windsor, CO 80550-0291
Phone (719) 696-9027

National Provider Directory

National Provider Directory
Tax ID family
Elevate Healthcare LLC4 organizations share this tax ID, including this one
Part of
Elevate Healthcare LLC

Other organizations with this tax ID 3

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

Locations

3595 E Fountain Blvd
Ste 245
Colorado Springs, CO 80910
Phone (719) 696-9027

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1750100129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 291",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805500291",
            "telephone_number": "719-696-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3595 E FOUNTAIN BLVD STE 245",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809107705",
            "telephone_number": "719-696-9027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE HEALTHCARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELEVATE HEALTHCARE LLC",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "HOLLINS",
        "authorized_official_first_name": "URSULA",
        "authorized_official_middle_name": "LYNETTE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "719-696-9027",
        "authorized_official_credential": "LCSW, LAC LPN"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.