Provider Demographics
NPI:1508526310
Name:ELEVATE NON EMERGENCY MEDICAL TRANSPORTATION SERVICE , LLC
Entity Type:Organization
Organization Name:ELEVATE NON EMERGENCY MEDICAL TRANSPORTATION SERVICE , LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHARMAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-468-0698
Mailing Address - Street 1:8700 STONEBROOK PKWY UNIT 813
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-5796
Mailing Address - Country:US
Mailing Address - Phone:313-468-0698
Mailing Address - Fax:
Practice Address - Street 1:8275 STONEBROOK PKWY APT 217
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-6424
Practice Address - Country:US
Practice Address - Phone:313-468-0698
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-20
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)