Provider Demographics
NPI:1629381785
Name:HIGHER LEVEL HOME CARE SERVICES
Entity Type:Organization
Organization Name:HIGHER LEVEL HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:KESHANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:PURCELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-865-3123
Mailing Address - Street 1:541 E EURE ST
Mailing Address - Street 2:
Mailing Address - City:SAINT PAULS
Mailing Address - State:NC
Mailing Address - Zip Code:28384-1321
Mailing Address - Country:US
Mailing Address - Phone:910-865-3123
Mailing Address - Fax:910-865-3098
Practice Address - Street 1:541 E EURE ST
Practice Address - Street 2:
Practice Address - City:SAINT PAULS
Practice Address - State:NC
Practice Address - Zip Code:28384-1321
Practice Address - Country:US
Practice Address - Phone:910-865-3123
Practice Address - Fax:910-865-3098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-19
Last Update Date:2010-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3944310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility