Healthcare Provider Details

I. General information

NPI: 1932034774
Provider Name (Legal Business Name): ELEVATE DAILY LIVING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 SNYDER ST
MISSOURI VALLEY IA
51555-1011
US

IV. Provider business mailing address

106 SNYDER ST
MISSOURI VALLEY IA
51555-1011
US

V. Phone/Fax

Practice location:
  • Phone: 402-714-1606
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name: MOHAMMED HALID LASSISSI
Title or Position: CEO
Credential:
Phone: 402-714-1606