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Elevation Behavioral Health

Psychiatric Residential Treatment Facility in Agoura Hills, CA. Organization (NPI-2).

NPI number1215545652
StatusActive
Last updated in NPPESJul 22, 2020

Details

NPI
1215545652
Entity type
Organization (NPI-2)
Legal business name
Elevation Behavioral Health
Organization subpart
No
Enumeration date
Jul 22, 2020
Certification date
Jul 22, 2020
Last updated
Jul 22, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
323P00000X Psychiatric Residential Treatment Facility––Yes

Practice location

3836 Kanan Rd
Agoura Hills, CA 91301-3237

Phone 888-643-7135

Mailing address

28632 Roadside Dr Ste 170
Agoura Hills, CA 91301-6083

Phone 310-951-6340

Authorized official

Krista Lynn Dennis
Insurance Manager
8055793537

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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