# HIGH LEVEL HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962156935
- **Authorized official:** TIFFANY MITCHELL (OWNER)
- **Authorized official phone:** (904) 415-6370

## Contact information

- **Practice address:** 4686 LAKE VISTA CIR, ELLENWOOD, GA 30294-1698
- **Practice address phone:** (770) 568-7812
- **Practice address fax:** (770) 234-6075
- **Mailing address:** 4686 LAKE VISTA CIR, ELLENWOOD, GA 30294-1698
- **Mailing address phone:** (770) 568-7812

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | — | Yes |

## Other

- **Enumeration date:** 02/09/2022
- **Last updated:** 02/09/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | NONE | NONE | GA |