Provider Demographics
NPI:1396621785
Name:ELEVATION CASE MANAGEMENT SERVICES LLC
Entity type:Organization
Organization Name:ELEVATION CASE MANAGEMENT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR. JASMINE COLLINS/ CASE MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:JASMINE
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:DSW
Authorized Official - Phone:502-439-4385
Mailing Address - Street 1:2214 PERTH CT
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40216-4343
Mailing Address - Country:US
Mailing Address - Phone:502-439-4385
Mailing Address - Fax:
Practice Address - Street 1:2214 PERTH CT
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40216-4343
Practice Address - Country:US
Practice Address - Phone:502-439-4385
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1073499422Medicaid