Provider Demographics
NPI:1508480500
Name:ONE STEP BEYOND, INC
Entity Type:Organization
Organization Name:ONE STEP BEYOND, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:HOMCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-205-9245
Mailing Address - Street 1:9299 W OLIVE AVE STE 311
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85345-8381
Mailing Address - Country:US
Mailing Address - Phone:623-205-9245
Mailing Address - Fax:
Practice Address - Street 1:9299 W OLIVE AVE STE 311
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85345-8381
Practice Address - Country:US
Practice Address - Phone:623-205-9245
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-04
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech