Provider Demographics
NPI:1770308637
Name:NEW LEVEL CARE STAFFING AGENCY
Entity type:Organization
Organization Name:NEW LEVEL CARE STAFFING AGENCY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CHASMAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BURRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-460-4236
Mailing Address - Street 1:5215 N IRONWOOD RD STE 202-C4
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:WI
Mailing Address - Zip Code:53217-4915
Mailing Address - Country:US
Mailing Address - Phone:414-460-4236
Mailing Address - Fax:
Practice Address - Street 1:5215 N IRONWOOD RD STE 202-C4
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:WI
Practice Address - Zip Code:53217-4915
Practice Address - Country:US
Practice Address - Phone:414-460-4236
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-16
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No385H00000XRespite Care FacilityRespite Care