Provider Type Icon

ELEVATED CARE LLC NPI 1679287486


NPI Information

NPI: 1679287486
Provider Name: ELEVATED CARE LLC

Doing Business As: COURTLY HOME

Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

CLIA Number: 50D2301988

Address:
23511 MARINE VIEW DR S
DES MOINES, WA
ZIP 98198
Phone: (206) 395-4748
Get Directions

ELEVATED CARE LLC is an adult care home custodial care facility in Des Moines, WA. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. ELEVATED CARE LLC NPI is 1679287486. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Courtly Home.

The provider's business location address is:

23511 MARINE VIEW DR S
DES MOINES, WA
ZIP 98198-351
Phone: (206) 395-4748

The provider's authorized official is Joshua Le .
The authorized official title is Physician and has the following contact phone number (206) 395-4748.

The CLIA number assigned to this NPI record is 50D2301988 - other - afh with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/6/2023 and was last updated on 4/3/2023.


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
1163W00000XRegistered NurseNo
2311ZA0620XCustodial Care FacilityAdult Care HomeYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.