Healthcare Provider Details

I. General information

NPI: 1770407496
Provider Name (Legal Business Name): ELEVATECARE DME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 MEDICAL CENTER DR STE 440B
LARGO MD
20774-3713
US

IV. Provider business mailing address

9500 MEDICAL CENTER DR STE 440B
LARGO MD
20774-3713
US

V. Phone/Fax

Practice location:
  • Phone: 240-599-0069
  • Fax: 240-599-7809
Mailing address:
  • Phone: 240-599-0069
  • Fax: 240-599-7809

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: TACO GALLOWAY-BARNES
Title or Position: MANAGING MEMBER
Credential:
Phone: 240-599-0069