Healthcare Provider Details

I. General information

NPI: 1619781937
Provider Name (Legal Business Name): LEVEL UP C OMPASSIONATE CARELLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2025
Last Update Date: 02/05/2025
Certification Date: 02/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 COMMONWEALTH PL
VIRGINIA BEACH VA
23464-4517
US

IV. Provider business mailing address

900 COMMONWEALTH PL
VIRGINIA BEACH VA
23464-4517
US

V. Phone/Fax

Practice location:
  • Phone: 757-238-5059
  • Fax:
Mailing address:
  • Phone: 757-238-5059
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: TIFFANY HOYT
Title or Position: OWNER
Credential:
Phone: 757-995-3261