Elevate Life Family Services, Llc

LBN: Elevate Life Family Services, Llc
Elevate Life Family Services, Llc is an health care organization with primary practice located at 2605 Rainbow Glow St , North Las Vegas NV 89030-3709. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as the primary health care specialty. Elevate Life Family Services, Llc can be contacted via phone (702) 630-5009, or through Jackson, Willie Pearl via phone (702) 630-5009.

Contact Information

Primary practice address
2605 Rainbow Glow St North Las Vegas NV 89030-3709
Phone: (702) 630-5009
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Willie Pearl
Phone: (702) 630-5009

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1568725935
LBN Legal business name Elevate Life Family Services, Llc
DBA Doing business as
Authorized official Jackson, Willie Pearl
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2012
Last updated Jun 20th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568725935 NPPES
Nevada MEDICAID 1932500000X

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