Healthcare Provider Details

I. General information

NPI: 1407795222
Provider Name (Legal Business Name): ELEVATE HEALTHCARE NOCO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 37TH AVENUE CT
GREELEY CO
80634-1802
US

IV. Provider business mailing address

PO BOX 291
WINDSOR CO
80550-0291
US

V. Phone/Fax

Practice location:
  • Phone: 970-502-5595
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2800X
TaxonomyMethadone Clinic
License Number
License Number StateNULL

VIII. Authorized Official

Name: PERLA RAMIREZ-GROOTHUIS
Title or Position: CEO
Credential:
Phone: 970-502-5595