Organization Active NPI

Elevation Homecare LLC

  • Homemaker
  • Jacksonville, FL
National Provider Identifier
1811736929
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Legal business name
ELEVATION HOMECARE LLC
Practice address
4813 Churchill Dr
Jacksonville, FL 32208-1847
Phone
(904) 672-6291
NPI assigned
May 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Authorized official

Name
Jessica Nelson
Title
Owner
Phone
(904) 672-6291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X Primary

Addresses

Primary practice location

4813 Churchill Dr
Jacksonville, FL 32208-1847

Mailing address

4813 Churchill Dr
Jacksonville, FL 32208-1847

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1811736929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4813 CHURCHILL DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322081847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4813 CHURCHILL DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322081847",
            "telephone_number": "904-672-6291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATION HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-672-6291"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.