Active NPI
Upper Level Home Care & Personal Care Services,LLC
- Home Health Agency
- Winston Salem, NC
National Provider Identifier
1386653202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HC3179
- Legal business name
- UPPER LEVEL HOME CARE & PERSONAL CARE SERVICES,LLC
- Practice address
- 3455 Polo Rd Ste 108
Winston Salem, NC 27106-4828 - Phone
- (336) 659-1901
- Fax
- (336) 768-1860
- NPI assigned
- Aug 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessie Kelly-Holmes, RN,FNP
- Title
- Director
- Phone
- (336) 659-1901
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HC3179 | NC | Primary |
Addresses
Primary practice location
3455 Polo Rd Ste 108
Winston Salem, NC 27106-4828
Mailing address
3455 Polo Rd Ste 108
Winston Salem, NC 27106-4828
Phone (336) 659-1901
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6601396 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Upper Level Home Care Personal Care Servicesllc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Winston Salem, NC
- NPI 1750505954
Locations
3455 Polo Rd
Ste 108
Winston Salem, NC 27106
Phone (336) 659-1901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1386653202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3455 POLO RD STE 108",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271064828",
"telephone_number": "336-659-1901",
"fax_number": "336-768-1860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3455 POLO RD STE 108",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271064828",
"telephone_number": "336-659-1901",
"fax_number": "336-768-1860"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UPPER LEVEL HOME CARE & PERSONAL CARE SERVICES,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KELLY-HOLMES",
"authorized_official_first_name": "JESSIE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "336-659-1901",
"authorized_official_credential": "RN,FNP"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NC",
"license": "HC3179",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6601396",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
- Unlimited Opportunities, LLC
- Unlimted Opportunities, LLC
- Bradley Thomas Unruh, MD
- Bharathi Upadhya, M.D.
- Ralph Denton Updyke Jr., PA
- Upper Level Homecare & Personal Care Services
- Urgent Cares of America NC Inc
- Urgent Cares of America North Carolina Inc
- Urgent Cares of America North Carolina Inc
- Urgent Cares of America North Carolina Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.