MEDICARE: ELEVATED CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1225856248
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELEVATED CARE LLC

Provider Business Mailing Address
First Line	:	13201 NW FWY STE 685
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77040-0002
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	13201 NW FWY STE 685
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77040-0002
Country	:	US
Telephone Number	:	832-993-0904
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	CARMEN ANKRAH
Credential	:
Telephone Number	:	832-993-0904

Provider Enumeration Date	:	09/30/2024
Last Update Date	:	09/30/2024

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