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NPI Code Detail

MEDICARE: NEXT LEVEL HOME HEALTH LLC

MEDICARE: NEXT LEVEL HOME HEALTH LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health AgencyCA

General Provider Information

NPI Number : 1316298938
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEXT LEVEL HOME HEALTH LLC
Provider Business Mailing Address
First Line : 39420 LIBERTY ST STE 155
Second Line :
City : FREMONT
State : CA
Zip : 94538-2284
Country : US
Telephone Number : 408-649-2370
Fax Number : 408-649-2378
Provider Business Practice Location Address
First Line : 39420 LIBERTY ST STE 155
Second Line :
City : FREMONT
State : CA
Zip : 94538-2284
Country : US
Telephone Number : 408-649-2370
Fax Number :
Authorized Official
Title or Position : OWNER/ CEO
Name : RYAN FERNANDEZ
Credential :
Telephone Number : 408-649-2370
Provider Enumeration Date : 09/21/2012
Last Update Date : 10/21/2020

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Directions to “NEXT LEVEL HOME HEALTH LLC ” Practice Location

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