Healthcare Provider Details

I. General information

NPI: 1982514873
Provider Name (Legal Business Name): ELEVATED HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 S LOOP W STE 300U
HOUSTON TX
77054-2606
US

IV. Provider business mailing address

7235 CONLEY ST
HOUSTON TX
77021-5810
US

V. Phone/Fax

Practice location:
  • Phone: 713-585-1424
  • Fax:
Mailing address:
  • Phone: 713-585-1424
  • 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 Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: AVIS MILBURN
Title or Position: OWNER
Credential:
Phone: 713-585-1424