ELEVATION YOUTH LIVING LLC NPI 1366381626

NPI Information

  • NPI: 1366381626
  • Provider Name: ELEVATION YOUTH LIVING LLC
  • Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
  • Entity Type: Organization
  • Address: 1917 PETTY RD
    KINGSTOWN, NC
    ZIP 28150
  • Phone: (980) 525-2566

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NPI Details

ELEVATION YOUTH LIVING LLC is a residential treatment facility emotionally disturbed children in Kingstown, NC. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. ELEVATION YOUTH LIVING LLC NPI is 1366381626. The provider is registered as an organization entity type.

The provider's business location address is:

1917 PETTY RD
KINGSTOWN, NC
ZIP 28150-826
Phone: (980) 525-2566

The provider's authorized official is Deidre Hudson .
The authorized official title is Owner/ceo and has the following contact phone number (980) 525-2566.

The enumeration date for this NPI number is 3/25/2026 and was last updated on 3/25/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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