Elevate Behavioral Health Residential Facilities, LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

ELEVATE BEHAVIORAL HEALTH RESIDENTIAL FACILITIES, LLC

Practice address

2029 N 106TH Ave
Avondale, AZ 85392-4766

Phone

(623) 562-0128

NPI assigned

May 2, 2020

Organization subpart

No

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

Authorized official

Name

Latonya WhitakerNPI 1992084214

Title

Owner

Phone

(623) 562-0128

Specialties & licenses 2

Addresses

Practitioners 1

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

• Latonya Whitaker, LCSW

  • Clinical Social Worker
  • Phoenix, AZ
  • NPI 1992084214
  NPD Authorized official

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

{
    "created_epoch": "1588377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588377600000",
    "number": "1942821723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2029 N 106TH AVE",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853924766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2029 N 106TH AVE",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853924766",
            "telephone_number": "623-562-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE BEHAVIORAL HEALTH RESIDENTIAL FACILITIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-02",
        "last_updated": "2020-05-02",
        "certification_date": "2020-05-02",
        "status": "A",
        "authorized_official_last_name": "WHITAKER",
        "authorized_official_first_name": "LATONYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-562-0128"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Ekblad, FNP-BC
• Aliah Elbert
• Caleb Martin Elder, DPT
• Marissa Elder, OTR/L
• Paula Eldridge
• Elevate Seniors PLLC
• Zachary Elias
• Elite Chiropractic and Sports Medicine, LLC
• Angelica Elizarraras
• Maria Elizarraras

• Mental Illness Community Based Residential Treatment Facility in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Mental Illness Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.

Verify at the official NPI Registry.