ELEVATE SENIORS LLC (NPI# 1326425794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326425794 |
Entity Type | Organization |
Organization Name | ELEVATE SENIORS LLC |
Practice Address |
5050 Quorum Dr Ste 700 Dallas TX 75254-1410 |
Practice Telephone | 4803985555 |
Mailing Telephone | 4803985555 |
Enumeration Date | 2015-05-05 |
Last Update Date | 2015-05-05 |
Authorized Official Name | WALTER SIMMONS (OWNER) |
Authorized Official Telephone | 4803985555 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 364SC0200X |
Clinical Nurse Specialist Specialization: Critical Care Medicine |
Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
5050 QUORUM DR STE 700 |
City | DALLAS |
State | TX |
Zip Code | 75254-1410 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033268354 | Soon Chao S Ong | Internal Medicine | 5050 Quorum Dr Ste 700, Dallas, TX 75254-1410 | 2007-01-09 |
1104471697 | Key Autism Services Tx, LLC | Community/Behavioral Health | 5050 Quorum Dr Ste 700, Dallas, TX 75254-1410 | 2019-08-02 |
1457878142 | L.v. Doubleday Counseling, Pllc | Counselor | 5050 Quorum Dr Ste 700, Dallas, TX 75254-1410 | 2017-08-24 |
1699076794 | Home Visiting Doctors Management LLC | In Home Supportive Care | 5050 Quorum Dr Ste 700, Dallas, TX 75254-1410 | 2010-11-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871119479 | Danielle Nicole Tolliver | Occupational Therapist | 4651 Dallas Pkwy, Suite 200, Dallas, TX 75254 | 2020-06-19 |
1164981593 | Christopher Richardson | Behavior Technician | 14785 Preston Rd Suite 550, Dallas, TX 75254 | 2019-03-15 |
1295224582 | Gerald Blake Ashlock | Counselor | 14400 Montfort Dr, Apt 1605, Dallas, TX 75254 | 2018-05-02 |
1851890685 | Gayle Deniese Hillman | Counselor | 14117 Montfort Dr, Dallas, TX 75254 | 2018-02-07 |
1568987386 | Riverstone Care LLC | Community/Behavioral Health | 14145 Noel Rd, 206, Dallas, TX 75254 | 2017-08-14 |
1548781594 | Cataract Vision Institute of Texas, Pllc | Ophthalmology | 14160 N. Dallas Pkwy, Ste 100, Dallas, TX 75254 | 2017-06-29 |
1366972911 | Terry Ku | Dentist | 5100 Belt Line Rd #312, Addison, TX 75254 | 2017-06-15 |
1932552338 | Rashonda Poston | Developmental Therapist | 5902 Preston Oaks Rd, Apt 2093, Dallas, TX 75254 | 2016-07-20 |
1326452699 | Anita Griffin | Specialist/Technologist | 5220 Spring Valley Road, Suite 400, Dallas, TX 75254 | 2014-06-16 |
1669721973 | Steve Willis Tobias | Physician Assistant | 5917 Beltline, Dallas, TX 75254 | 2012-08-31 |
Find all providers in zip 75254 |
Taxonomy Code | 364SC0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Critical Care Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033768866 | Nicole Lea Frederick | Clinical Nurse Specialist | 2001 Thistle Park Dr Apt 5105, Fort Worth, TX 76110-1651 | 2019-09-04 |
1124596614 | Stephanie Darlene Hicks | Clinical Nurse Specialist | 4201 Medical Center Dr Ste 380, Mckinney, TX 75069-1780 | 2018-11-02 |
1699056168 | Sara Alicia Melendez | Clinical Nurse Specialist | 6801 Mcpherson Rd Ste 220, Laredo, TX 78041-6403 | 2011-08-29 |
1780949628 | Mary Louise Warren | Clinical Nurse Specialist | 1515 Holcombe Blvd, Houston, TX 77030-4009 | 2012-07-06 |
1093953358 | Leann Michelle Mcreynolds | Clinical Nurse Specialist | 4410 Medical Dr, Suite 440, San Antonio, TX 78229-6306 | 2009-01-25 |
1811170111 | Regina L Wilson | Clinical Nurse Specialist | 7703 Floyd Curl Dr, San Antonio, TX 78229-3901 | 2007-12-10 |
1427237452 | Debra Fraley | Clinical Nurse Specialist | 7703 Floyd Curl Dr, San Antonio, TX 78229-3901 | 2007-10-26 |
1518164375 | Marthe Jean Moseley | Clinical Nurse Specialist | 7400 Merton Minter St, South Texas Veterans Health Care System, San Antonio, TX 78229-4404 | 2007-06-27 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.