Provider Demographics
NPI:1710374368
Name:ELEVATION HOSPICE OF COLORADO, LLC
Entity Type:Organization
Organization Name:ELEVATION HOSPICE OF COLORADO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:TABITHA
Authorized Official - Middle Name:
Authorized Official - Last Name:DRODDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-608-2181
Mailing Address - Street 1:7850 VANCE DR STE 230
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80003-2128
Mailing Address - Country:US
Mailing Address - Phone:720-608-2181
Mailing Address - Fax:720-638-4023
Practice Address - Street 1:7850 VANCE DR STE 230
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80003-2128
Practice Address - Country:US
Practice Address - Phone:720-608-2181
Practice Address - Fax:720-638-4023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-21
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based