Provider Demographics
NPI:1376181420
Name:A ELEVATED CARE
Entity Type:Organization
Organization Name:A ELEVATED CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANGER
Authorized Official - Prefix:
Authorized Official - First Name:ALIEINA
Authorized Official - Middle Name:L
Authorized Official - Last Name:CAVINESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-723-7389
Mailing Address - Street 1:751 MIA AVE
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45417-9132
Mailing Address - Country:US
Mailing Address - Phone:937-723-7398
Mailing Address - Fax:
Practice Address - Street 1:751 MIA AVE
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45417-9132
Practice Address - Country:US
Practice Address - Phone:937-723-7398
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-18
Last Update Date:2020-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health