Provider Demographics
NPI:1376292086
Name:NEXT LEVEL CARE
Entity Type:Organization
Organization Name:NEXT LEVEL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:LAMIN
Authorized Official - Middle Name:LAMIN
Authorized Official - Last Name:DIBBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-986-6412
Mailing Address - Street 1:16700 50TH CT N
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55446-4532
Mailing Address - Country:US
Mailing Address - Phone:612-986-6412
Mailing Address - Fax:
Practice Address - Street 1:16700 50TH CT N
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55446-4532
Practice Address - Country:US
Practice Address - Phone:612-986-6412
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEXT LEVEL CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-03-21
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility