Provider Demographics
NPI:1093012833
Name:NEXT STEP MEDICAL LLC
Entity Type:Organization
Organization Name:NEXT STEP MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OF NEXT STEP MEDICAL, LLC
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:H
Authorized Official - Last Name:MCCALLA
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:703-598-3473
Mailing Address - Street 1:8285 W ARBY AVE STE 155
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-2236
Mailing Address - Country:US
Mailing Address - Phone:702-489-8165
Mailing Address - Fax:702-489-8446
Practice Address - Street 1:8285 W ARBY AVE STE 155
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-2236
Practice Address - Country:US
Practice Address - Phone:702-489-8165
Practice Address - Fax:702-489-8446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-14
Last Update Date:2019-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
NV2000228424332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV6697800001Medicare NSC