Provider Demographics
NPI:1639063142
Name:ELEVATE PROGRAMS LLC
Entity type:Organization
Organization Name:ELEVATE PROGRAMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:TUTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-312-8499
Mailing Address - Street 1:4 TERRACE WAY BLDG 4
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27403-3671
Mailing Address - Country:US
Mailing Address - Phone:336-312-8499
Mailing Address - Fax:
Practice Address - Street 1:4 TERRACE WAY BLDG 4
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27403-3671
Practice Address - Country:US
Practice Address - Phone:336-312-8499
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-07
Last Update Date:2025-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care