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General NPI Number Information
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NPI Number | 1962214692
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Entity Type | Organization
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Legal Business Name | ELEVATE MEMPHIS INC
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Dates
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Enumeration Date | 01/21/2025
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 5144 COUNTRY VIEW LN
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City | MEMPHIS
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State | TN
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Zip | 38134-5210
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Country | US
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Telephone | 901-849-0018
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Fax |
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Provider Business Mailing Address
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Address Line | 501 UNION ST STE 545
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City | NASHVILLE
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State | TN
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Zip | 37219-1876
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Country | US
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Telephone | 901-849-0018
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Fax |
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Authorized Official
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Title or Position | OWNER/FOUNDER/CAO
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Name | TAMIKA Y WILLIAMS
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Credential |
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Telephone | 901-849-0018
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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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Taxonomy #2
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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