Active NPI
Elevate Home Care LLC
- In Home Supportive Care Agency
- Milwaukee, WI
National Provider Identifier
1780212902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- ELEVATE HOME CARE LLC
- Practice address
- 11414 W Park PL Ste 202
Milwaukee, WI 53224-3500 - Phone
- (414) 346-6785
- NPI assigned
- Apr 1, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deondra Kentle
- Title
- Owner
- Phone
- (414) 346-6785
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
11414 W Park PL Ste 202
Milwaukee, WI 53224-3500
Mailing address
11414 W Park PL Ste 202
Milwaukee, WI 53224-3500
Phone (414) 346-6785
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585699200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600905600000",
"number": "1780212902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11414 W PARK PL STE 202",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532243500",
"telephone_number": "414-346-6785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11414 W PARK PL STE 202",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532243500",
"telephone_number": "414-346-6785"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELEVATE HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-01",
"last_updated": "2020-09-24",
"certification_date": "2020-09-24",
"status": "A",
"authorized_official_last_name": "KENTLE",
"authorized_official_first_name": "DEONDRA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "414-346-6785"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.