Healthcare Provider Details

I. General information

NPI: 1982394490
Provider Name (Legal Business Name): ELEVATED SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2023
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 W GRAYSON ST STE 150
GALAX VA
24333-2810
US

IV. Provider business mailing address

PO BOX 1032
CHRISTIANSBURG VA
24068-1032
US

V. Phone/Fax

Practice location:
  • Phone: 833-239-5142
  • Fax: 833-959-1670
Mailing address:
  • Phone: 833-239-5142
  • Fax: 833-959-1670

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER MARTIN
Title or Position: OWNER
Credential:
Phone: 540-250-7029