Provider Demographics
NPI:1063870624
Name:LEVENESS 'LLC' DBA LEVENESS HHC,LLC
Entity type:Organization
Organization Name:LEVENESS 'LLC' DBA LEVENESS HHC,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BREIA
Authorized Official - Middle Name:LASHAY
Authorized Official - Last Name:COOPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-242-7799
Mailing Address - Street 1:PO BOX 582545
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34758-0032
Mailing Address - Country:US
Mailing Address - Phone:863-242-7799
Mailing Address - Fax:267-565-2365
Practice Address - Street 1:129 AVENUE K SE
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33880-4002
Practice Address - Country:US
Practice Address - Phone:863-242-7799
Practice Address - Fax:267-565-2365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-10
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health