ELEVATE HEALTHCARE LLC LABS
NPI 1003674961
Clinic/Center - Methadone in Pueblo, CO

NPI Status: Active since March 06, 2024

Contact Information

212 W 13TH ST
PUEBLO, CO
ZIP 81003
Phone: (719) 696-9027

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  • Organization
  • Clinic/Center
  • Methadone
  • CLIA Number: 06D2277791
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-12-2028

About ELEVATE HEALTHCARE LLC LABS

This page provides the complete NPI Profile along with additional information for Elevate Healthcare Llc Labs, a provider established in Pueblo, Colorado operating as a Clinic/center, focusing in methadone . The healthcare provider is registered in the NPI registry with number 1003674961 assigned on March 2024. The practitioner's primary taxonomy code is 261QM2800X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Ursula Lynette Hollins Lac Lpn Msw (Executive Director)

NPI
1003674961
Provider Name
ELEVATE HEALTHCARE LLC LABS
Entity Type
Organization
Location Address
212 W 13TH ST PUEBLO, CO 81003
Location Phone
(719) 696-9027
Mailing Address
PO BOX 291 WINDSOR, CO 80550
Mailing Phone
(719) 696-9027
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-06-2024
Last Update Date
03-06-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Methadone

Taxonomy Code
261QM2800X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

URSULA LYNETTE HOLLINS LAC LPN MSW

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(719) 696-9027

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
06D2277791
Facility Type
Physician Office
Certificate Effective Date
January 13, 2026
Certificate Expiration Date
January 12, 2028
Laboratory Director
DR. JASON WEST
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Elevate Healthcare Llc Labs on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1003674961, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
0
Doubled → 0
Pos 4
3
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
7
Unchanged
Pos 7
4
Doubled → 8
Pos 8
9
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 6 → 12 → 3 4 → 8 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 1 + 2 + 7 + 8 + 9 + 1 + 2 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1003674961.

Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Clinic/Center (Methadone)
212 W 13TH ST
PUEBLO, CO 81003
Licensed Practical Nurse
212 W 13TH ST
PUEBLO, CO 81003
Counselor (Addiction (Substance Use Disorder))
212 W 13TH ST
PUEBLO, CO 81003
Case Manager/Care Coordinator
212 W 13TH ST
PUEBLO, CO 81003
Case Manager/Care Coordinator
212 W 13TH ST
PUEBLO, CO 81003
Licensed Practical Nurse
212 W 13TH ST
PUEBLO, CO 81003
Student in an Organized Health Care Education/Training Program
212 W 13TH ST
PUEBLO, CO 81003
Case Manager/Care Coordinator
212 W 13TH ST
PUEBLO, CO 81003
Registered Nurse
212 W 13TH ST
PUEBLO, CO 81003
Licensed Practical Nurse
212 W 13TH ST
PUEBLO, CO 81003
Registered Nurse
212 W 13TH ST
PUEBLO, CO 81003
Case Manager/Care Coordinator
212 W 13TH ST
PUEBLO, CO 81003
Case Manager/Care Coordinator
212 W 13TH ST
PUEBLO, CO 81003
Counselor (Addiction (Substance Use Disorder))
212 W 13TH ST
PUEBLO, CO 81003

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003674961, enumerated as an "organization" on March 06, 2024.

The provider is located at 212 W 13TH ST PUEBLO, CO 81003 and the phone number is (719) 696-9027.

Clinic/Center with taxonomy code 261QM2800X and a focus in Methadone.