Provider Demographics
NPI:1467268961
Name:ELEVATE LIFE HOME HEALTH LLP
Entity type:Organization
Organization Name:ELEVATE LIFE HOME HEALTH LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:POLINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:GITHIIRU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-363-9966
Mailing Address - Street 1:5152 S EAST ST STE 3
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46227-2038
Mailing Address - Country:US
Mailing Address - Phone:317-363-9966
Mailing Address - Fax:
Practice Address - Street 1:5152 S EAST ST STE 3
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46227-2038
Practice Address - Country:US
Practice Address - Phone:317-363-9966
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health