Organization · NPI-2
Elevate Independent Living Supports LLC
Day Training/Habilitation Specialist · Denver, CO
NPI number1790602050
StatusActive
Last updated in NPPESJun 29, 2026
Details
- NPI
- 1790602050
- Entity type
- Organization (NPI-2)
- Legal business name
- Elevate Independent Living Supports LLC
- Organization subpart
- No
- Enumeration date
- Jun 29, 2026
- Certification date
- Jun 30, 2026
- Last updated
- Jun 29, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 373H00000X | Day Training/Habilitation Specialist | – | – | Yes |
Practice location
5024 Fontana CtDenver, CO 80239-4277
Phone 720-338-9961
Mailing address
5024 Fontana CtDenver, CO 80239-4277
Phone 720-338-9961
Authorized official
Maricruz De La Rosa
Owner
7203389961
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