Adapta Medical, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

20156000592 Issued in CO

Legal business name

ADAPTA MEDICAL, INC

Doing business as

Elevation MedIcal Supply, LLC

Practice address

140 Talamine CT
Colorado Springs, CO 80907-5176

Phone

(855) 329-8355

NPI assigned

Aug 8, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jamie Glen House, MD

Title

Ceo

Phone

(855) 329-8355

Specialties & licenses 1

Addresses

Other names 1

• Elevation MedIcal Supply, LLC Doing business as

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

{
    "created_epoch": "1438992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438992000000",
    "number": "1962888313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 TALAMINE CT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075176",
            "telephone_number": "855-329-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 TALAMINE CT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075176",
            "telephone_number": "855-329-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAPTA MEDICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-08",
        "last_updated": "2015-08-08",
        "status": "A",
        "authorized_official_last_name": "HOUSE",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "GLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "855-329-8355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CO",
            "license": "20156000592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elevation MedIcal Supply, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Lea Alexandria Adcock, BSN, RN, CEN

• Durable Medical Equipment & Medical Supplies in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Durable Medical Equipment & Medical Supplies in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2015; 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.