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General NPI Number Information
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NPI Number | 1417537168
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Entity Type | Organization
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Legal Business Name | ELEVATED HEALTHCARE INC
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Dates
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Enumeration Date | 04/08/2021
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Last Update Date | 04/08/2021
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Provider Practice Location Address
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Address Line | 5051 CANYON CREST DR STE 203
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City | RIVERSIDE
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State | CA
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Zip | 92507-6035
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Country | US
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Telephone | 951-335-5112
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Fax | 951-335-5070
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Provider Business Mailing Address
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Address Line | 17682 MITCHELL N STE 100
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City | IRVINE
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State | CA
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Zip | 92614-6037
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Country | US
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Telephone | 949-263-4700
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Fax | 949-263-4762
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Authorized Official
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Title or Position | ADMINISTRATOR/CEO
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Name | RAJNIT WALIA
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Credential |
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Telephone | 626-391-7620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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