Provider Demographics
NPI:1063043636
Name:GREATER ELEVATIONS LLC
Entity Type:Organization
Organization Name:GREATER ELEVATIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELYN
Authorized Official - Middle Name:LETORY
Authorized Official - Last Name:BHONES
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, RN
Authorized Official - Phone:832-296-7709
Mailing Address - Street 1:PO BOX 1581
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77383-1581
Mailing Address - Country:US
Mailing Address - Phone:832-661-8344
Mailing Address - Fax:
Practice Address - Street 1:19403 SANCTUARY PINE CT
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388-2628
Practice Address - Country:US
Practice Address - Phone:832-661-8344
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-31
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministratorGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No251G00000XAgenciesHospice Care, Community Based
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No291U00000XLaboratoriesClinical Medical LaboratoryGroup - Multi-Specialty