Provider Demographics
NPI:1831679588
Name:ELEVATE HOME HEALTH LLC
Entity Type:Organization
Organization Name:ELEVATE HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:FUNK
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:801-850-4089
Mailing Address - Street 1:88 E 100 S
Mailing Address - Street 2:
Mailing Address - City:PRICE
Mailing Address - State:UT
Mailing Address - Zip Code:84501-3006
Mailing Address - Country:US
Mailing Address - Phone:435-637-1250
Mailing Address - Fax:
Practice Address - Street 1:88 E 100 S
Practice Address - Street 2:
Practice Address - City:PRICE
Practice Address - State:UT
Practice Address - Zip Code:84501-3006
Practice Address - Country:US
Practice Address - Phone:435-637-1250
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-21
Last Update Date:2019-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health