Healthcare Provider Details

I. General information

NPI: 1841788635
Provider Name (Legal Business Name): ELEVATION HOMECARE AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2018
Last Update Date: 11/01/2021
Certification Date: 11/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 PENNS TRL STE 152
NEWTOWN PA
18940
US

IV. Provider business mailing address

12 PENNS TRL STE 152
NEWTOWN PA
18940-1892
US

V. Phone/Fax

Practice location:
  • Phone: 215-579-1700
  • Fax:
Mailing address:
  • Phone: 215-579-1700
  • Fax:

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 Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StatePA

VIII. Authorized Official

Name: JANELLE SOLOMON
Title or Position: RN
Credential:
Phone: 267-281-7755