Healthcare Provider Details

I. General information

NPI: 1558273078
Provider Name (Legal Business Name): ELEVATEWELL CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6200 HOSPITALITY DR
FRANKLIN TN
37067-5063
US

IV. Provider business mailing address

6200 HOSPITALITY DR
FRANKLIN TN
37067-5063
US

V. Phone/Fax

Practice location:
  • Phone: 615-715-0303
  • Fax:
Mailing address:
  • Phone: 615-715-0303
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: THOMAS ITSEDE
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 615-715-0303