Provider Demographics
NPI:1851884787
Name:NEXT LEVEL OF INDEPENDENCE, INC.
Entity Type:Organization
Organization Name:NEXT LEVEL OF INDEPENDENCE, INC.
Other - Org Name:NEXT LEVEL OF INDEPENDENCE, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:ROSALEE
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-818-0386
Mailing Address - Street 1:2618 BUTTERFIELD DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76133-5881
Mailing Address - Country:US
Mailing Address - Phone:347-818-0386
Mailing Address - Fax:
Practice Address - Street 1:2618 BUTTERFIELD DR
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76133-5881
Practice Address - Country:US
Practice Address - Phone:347-818-0386
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-14
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No253Z00000XAgenciesIn Home Supportive Care
No282E00000XHospitalsLong Term Care Hospital