MEDICARE: NEXT LEVEL SUPPORTIVE SERVICES

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
1	320800000X	Mental Illness Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1053257857
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEXT LEVEL SUPPORTIVE SERVICES

Provider Business Mailing Address
First Line	:	3832 TAYLORSVILLE RD STE 8
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40220-1369
Country	:	US
Telephone Number	:	502-526-8256
Fax Number	:

Provider Business Practice Location Address
First Line	:	3832 TAYLORSVILLE RD STE 8
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40220-1369
Country	:	US
Telephone Number	:	502-526-8256
Fax Number	:

Authorized Official
Title or Position	:	ED
Name	:	MR. ELIJAH J CARRADINE JR.
Credential	:
Telephone Number	:	502-526-8256

Provider Enumeration Date	:	04/25/2026
Last Update Date	:	04/26/2026

Similar Medicare Providers

1821379611 — STEPHANIE POUND LPCC-S
Practice Location Address:

3832 TAYLORSVILLE RD STE 2
LOUISVILLE, KY
40220-1369

Practice Phone: 502-554-0202
Practice Fax:

1124684212 — KAYLA RENAE COMBS NP-C
Practice Location Address:

3832 TAYLORSVILLE RD UNIT 8-10
LOUISVILLE, KY
40220-1369

Practice Phone: 502-649-6219
Practice Fax:

1760147482 — D&S RESIDENTIAL SERVICES, LP
Practice Location Address:

3832 TAYLORSVILLE RD
LOUISVILLE, KY
40220-1369

Practice Phone: 606-425-4432
Practice Fax:

1144212390 — DR. STEPHEN S. FENSTEMAKER D.D.S.
Practice Location Address:

309 SHERBAN CT
LOUISVILLE, OH
44641-1369

Practice Phone: 330-875-2832
Practice Fax: 330-875-2492

1720133200 — ELDERCLUB ADC ELDERSERVE INC.
Practice Location Address:

631 S 28TH ST
LOUISVILLE, KY
40211-1369

Practice Phone: 502-776-3066
Practice Fax:

1689791758 — KAROLE A DORAN OTR
Practice Location Address:

6506 WATCH HILL RD
LOUISVILLE, KY
40228-1369

Practice Phone: 502-239-3684
Practice Fax: 502-231-7511

Directions to “NEXT LEVEL SUPPORTIVE SERVICES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.