MEDICARE: NEXT LEVEL OF INDEPENDENCE, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251C00000X	Developmentally Disabled Services Day Training Agency
2	253Z00000X	In Home Supportive Care Agency
3	282E00000X	Long Term Care Hospital
4	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1851884787
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEXT LEVEL OF INDEPENDENCE, INC.

Provider Business Mailing Address
First Line	:	2618 BUTTERFIELD DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76133-5881
Country	:	US
Telephone Number	:	347-818-0386
Fax Number	:

Provider Business Practice Location Address
First Line	:	2618 BUTTERFIELD DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76133-5881
Country	:	US
Telephone Number	:	347-818-0386
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MRS. TANYA ROSALEE BROWN
Credential	:
Telephone Number	:	347-818-0386

Provider Enumeration Date	:	06/14/2018
Last Update Date	:	05/24/2023

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