Healthcare Provider Details

I. General information

NPI: 1639992621
Provider Name (Legal Business Name): UPLIFTING CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2024
Last Update Date: 05/23/2025
Certification Date: 05/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

508 N. ELECTRIC AVE E
ALHAMBRA CA
91801
US

IV. Provider business mailing address

508 N. ELECTRIC AVE E
ALHAMBRA CA
91801
US

V. Phone/Fax

Practice location:
  • Phone: 626-232-1582
  • Fax:
Mailing address:
  • Phone: 626-232-1582
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: FILIMON GEBREMICHAEL
Title or Position: FOUNDER
Credential:
Phone: 626-232-1582