Provider Demographics
NPI:1174330252
Name:LEVELS TO LOVE LLC
Entity type:Organization
Organization Name:LEVELS TO LOVE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CASSONDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-677-2740
Mailing Address - Street 1:3135 HOVEY ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46218-1930
Mailing Address - Country:US
Mailing Address - Phone:317-677-2740
Mailing Address - Fax:
Practice Address - Street 1:7333 PEBBLEBROOKE EAST DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46236-8771
Practice Address - Country:US
Practice Address - Phone:317-677-2740
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-12
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization