Provider Demographics
NPI:1730378217
Name:NEXT LEVEL HEALTHCARE OUTREACH INC
Entity type:Organization
Organization Name:NEXT LEVEL HEALTHCARE OUTREACH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CURLINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:MHS
Authorized Official - Phone:773-445-9040
Mailing Address - Street 1:11622 S WESTERN AVE
Mailing Address - Street 2:SUITE 3N
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60643-4760
Mailing Address - Country:US
Mailing Address - Phone:773-445-9040
Mailing Address - Fax:
Practice Address - Street 1:11622 S WESTERN AVE
Practice Address - Street 2:SUITE 3N
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60643-4760
Practice Address - Country:US
Practice Address - Phone:773-445-9040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-19
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health