Healthcare Provider Details

I. General information

NPI: 1508630237
Provider Name (Legal Business Name): ELEVATECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2023
Last Update Date: 06/07/2024
Certification Date: 06/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 SUPERIOR AVE E STE 1300
CLEVELAND OH
44114-2654
US

IV. Provider business mailing address

600 SUPERIOR AVE E STE 1300
CLEVELAND OH
44114-2654
US

V. Phone/Fax

Practice location:
  • Phone: 216-920-1999
  • Fax: 216-446-0905
Mailing address:
  • Phone: 216-920-1999
  • Fax: 216-446-0905

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MR. MALCOLM FROST
Title or Position: ADMINISTRATOR
Credential:
Phone: 216-920-1999