MEDICARE: HIGH LEVEL HOME CARE LLC

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	253Z00000X	In Home Supportive Care Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	NONE	OTHER	GA	NONE

General Provider Information

NPI Number	:	1962156935
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HIGH LEVEL HOME CARE LLC

Provider Business Mailing Address
First Line	:	4686 LAKE VISTA CIR
Second Line	:
City	:	ELLENWOOD
State	:	GA
Zip	:	30294-1698
Country	:	US
Telephone Number	:	770-568-7812
Fax Number	:

Provider Business Practice Location Address
First Line	:	4686 LAKE VISTA CIR
Second Line	:
City	:	ELLENWOOD
State	:	GA
Zip	:	30294-1698
Country	:	US
Telephone Number	:	770-568-7812
Fax Number	:	770-234-6075

Authorized Official
Title or Position	:	OWNER
Name	:	TIFFANY MITCHELL
Credential	:
Telephone Number	:	904-415-6370

Provider Enumeration Date	:	02/09/2022
Last Update Date	:	02/09/2022

Similar Medicare Providers

1922353192 — KELSEY MIMS DANIELS DPT
Practice Location Address:

2838 E ATLANTA RD STE 2
ELLENWOOD, GA
30294-2780

Practice Phone: 678-782-3609
Practice Fax:

1114881943 — ESPRESSO CULTURE
Practice Location Address:

2686 SILVER QUEEN RD
ELLENWOOD, GA
30294-3974

Practice Phone: 678-737-8865
Practice Fax: 229-280-5082

1861462624 — DORNEL J LEWIS NURSE PRACTITIONER
Practice Location Address:

2808 E ATLANTA RD , SUITE 344
ELLENWOOD, GA
30294-2780

Practice Phone: 404-434-0401
Practice Fax:

1437145950 — SOUTHERN CRESCENT PEDIATRICS PC
Practice Location Address:

191 FAIRVIEW RD
ELLENWOOD, GA
30294-2722

Practice Phone: 770-389-5500
Practice Fax: 770-389-4959

1326020876 — DR. MELODY LAWANDA BRAY-ROSS MD
Practice Location Address:

3559 SPRING SHLS
ELLENWOOD, GA
30294-4237

Practice Phone: 404-241-6032
Practice Fax:

1356300651 — JA NA MONIQUE HOLYFIELD PA
Practice Location Address:

211 FAIRVIEW RD
ELLENWOOD, GA
30294-2721

Practice Phone: 678-289-6747
Practice Fax: 678-289-6750

Directions to “HIGH LEVEL HOME CARE LLC ” 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.