Healthcare Provider Details
I. General information
NPI: 1043103112
Provider Name (Legal Business Name): ELEVATE REHAB LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/29/2025
Last Update Date: 05/29/2025
Certification Date: 05/29/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
44 VARET ST
BROOKLYN NY
11206-4014
US
IV. Provider business mailing address
44 VARET ST
BROOKLYN NY
11206-4014
US
V. Phone/Fax
- Phone: 718-608-7846
- Fax:
- Phone: 718-608-7846
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 252Y00000X |
| Taxonomy | Early Intervention Provider Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOEL
POSEN
Title or Position: CEO
Credential:
Phone: 718-701-7300