Eleva Enterprises, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

101721 Issued in TX

Legal business name

ELEVA ENTERPRISES, LLC

Doing business as

Staars

Practice address

211 N Nebraska Ave
Suite 2
San Juan, TX 78589-3037

Phone

(888) 202-0446

Fax

(956) 380-6681

NPI assigned

Apr 28, 2016

Last updated

Apr 28, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angela Gutierrez, SLP

Title

Owner/President

Phone

(888) 202-0446

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• STAARS Doing business as

Locations

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1750736690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5102 ELK LN",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785398430",
            "telephone_number": "888-202-0446",
            "fax_number": "956-380-6681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N NEBRASKA AVE",
            "address_2": "SUITE 2",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785893037",
            "telephone_number": "888-202-0446",
            "fax_number": "956-380-6681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVA ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-28",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "888-202-0446",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "101721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWNER NPI",
            "identifier": "1841487691",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STAARS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Speech-Language Pathologist in San Juan, TX
• Providers in San Juan, TX by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; 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.