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NPI Code Detail

MEDICARE: ELEVATED ALLIANCES LLC

MEDICARE: ELEVATED ALLIANCES 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
1251E00000XHome Health Agency
2320900000XIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
3347E00000XTransportation Broker
4376J00000XHomemaker
5385H00000XRespite Care
6251C00000XDevelopmentally Disabled Services Day Training Agency

General Provider Information

NPI Number : 1609734326
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELEVATED ALLIANCES LLC
Provider Business Mailing Address
First Line : 2915 ARNOLD AVE
Second Line :
City : MONUMENT
State : CO
Zip : 80132-8130
Country : US
Telephone Number : 208-807-8653
Fax Number :
Provider Business Practice Location Address
First Line : 2915 ARNOLD AVE
Second Line :
City : MONUMENT
State : CO
Zip : 80132-8130
Country : US
Telephone Number : 208-807-8653
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MATTHEW MING
Credential :
Telephone Number : 208-807-8653
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/12/2026

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Directions to “ELEVATED ALLIANCES LLC ” Practice Location

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