Organization Active NPI

Next Level Professsional Services

  • Home Health Agency
  • Valley Stream, NY
National Provider Identifier
1861905762
Registry record updated Nov 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NEXT LEVEL PROFESSSIONAL SERVICES
Practice address
70 E Sunrise Hwy Ste 500
Valley Stream, NY 11581-1233
Phone
(770) 203-5095
NPI assigned
Nov 14, 2017
Organization subpart
Yes
Parent organization
NEXT LEVEL PROFESSIONAL SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 14, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Lajuana Patrice James-Jackson, LPN
Title
Director
Phone
(770) 203-5095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

70 E Sunrise Hwy Ste 500
Valley Stream, NY 11581-1233

Mailing address

2216 New Haven Ave Apt 7N
Far Rockaway, NY 11691-2562
Phone (770) 203-5095

Other identifiers 1

IdentifierTypeStateIssuer
1205225612MedicaidNY

National Provider Directory

National Provider Directory
Part of
Next Level Professsional Services

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510617600000",
    "number": "1861905762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 NEW HAVEN AVE APT 7N",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116912562",
            "telephone_number": "770-203-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 E SUNRISE HWY STE 500",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115811233",
            "telephone_number": "770-203-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXT LEVEL PROFESSSIONAL SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEXT LEVEL PROFESSIONAL SERVICES",
        "enumeration_date": "2017-11-14",
        "last_updated": "2017-11-14",
        "status": "A",
        "authorized_official_last_name": "JAMES-JACKSON",
        "authorized_official_first_name": "LAJUANA",
        "authorized_official_middle_name": "PATRICE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "770-203-5095",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205225612",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.