Healthcare Provider Details

I. General information

NPI: 1275338121
Provider Name (Legal Business Name): NULEVEL HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2025
Last Update Date: 02/14/2025
Certification Date: 02/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1075 S IDAHO RD STE 203
APACHE JUNCTION AZ
85119-6405
US

IV. Provider business mailing address

4088 E GIARA ST
SAN TAN VALLEY AZ
85140-1670
US

V. Phone/Fax

Practice location:
  • Phone: 480-870-2424
  • Fax:
Mailing address:
  • Phone: 262-705-7923
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MONIQUE MOORE
Title or Position: CEO
Credential:
Phone: 480-870-2424