Healthcare Provider Details

I. General information

NPI: 1033024609
Provider Name (Legal Business Name): NEXT LEVEL 360 SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3041 BERKS WAY SUITE 101, OFFICE 3
RALEIGH NC
27614
US

IV. Provider business mailing address

3041 BERKS WAY STE 101
RALEIGH NC
27614-6777
US

V. Phone/Fax

Practice location:
  • Phone: 919-283-3039
  • Fax:
Mailing address:
  • Phone: 919-283-3039
  • 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: MS. JALISSA MICHELLE WALLACE
Title or Position: CEO/FOUNDER
Credential:
Phone: 919-283-3039