Provider Demographics
NPI:1518591056
Name:ELEVATING LIFE LLC
Entity Type:Organization
Organization Name:ELEVATING LIFE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CARRINGTON
Authorized Official - Middle Name:
Authorized Official - Last Name:CREED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-709-5593
Mailing Address - Street 1:3900 CITY AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19131-2908
Mailing Address - Country:US
Mailing Address - Phone:267-709-5593
Mailing Address - Fax:
Practice Address - Street 1:1545 S 31ST ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19146-3527
Practice Address - Country:US
Practice Address - Phone:215-664-6014
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-24
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care