Organization Active NPI

Elevate Living Solutions LLC

  • Developmental Disabilities Clinic/Center
  • Indianapolis, IN
National Provider Identifier
1750132080
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
ELEVATE LIVING SOLUTIONS LLC
Practice address
10606 Wyayy Drive
Indianapolis, IN 46231
Phone
(919) 884-0686
NPI assigned
Mar 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Authorized official

Name
Patrick Nshizirungu
Title
Ceo
Phone
(919) 884-0686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

10606 Wyayy Drive
Indianapolis, IN 46231

Mailing address

10606 Wyayy Drive
Indianapolis, IN 46231
Phone (919) 884-0686

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1750132080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10606 WYAYY DRIVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46231",
            "telephone_number": "919-884-0686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10606 WYAYY DRIVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46231",
            "telephone_number": "919-884-0686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE LIVING SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-23",
        "status": "A",
        "authorized_official_last_name": "NSHIZIRUNGU",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-884-0686"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.