MEDICARE: ELEVATION CASE MANAGEMENT SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396621785
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELEVATION CASE MANAGEMENT SERVICES LLC

Provider Business Mailing Address
First Line	:	2214 PERTH CT
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40216-4343
Country	:	US
Telephone Number	:	502-439-4385
Fax Number	:

Provider Business Practice Location Address
First Line	:	2214 PERTH CT
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40216-4343
Country	:	US
Telephone Number	:	502-439-4385
Fax Number	:

Authorized Official
Title or Position	:	DR. JASMINE COLLINS/ CASE MANAGER
Name	:	DR. JASMINE COLLINS
Credential	:	DSW
Telephone Number	:	502-439-4385

Provider Enumeration Date	:	08/12/2025
Last Update Date	:	08/12/2025

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