Healthcare Provider Details

I. General information

NPI: 1780538983
Provider Name (Legal Business Name): ESSENTIAL ELEVATIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2026
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4660 NW 62ND AVE
JOHNSTON IA
50131-1013
US

IV. Provider business mailing address

4660 NW 62ND AVE
JOHNSTON IA
50131-1013
US

V. Phone/Fax

Practice location:
  • Phone: 515-350-1066
  • Fax:
Mailing address:
  • Phone: 515-350-1066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: SHANICE PROPPS
Title or Position: OWNER
Credential:
Phone: 515-350-1066