Provider Demographics
NPI:1679175798
Name:STEP AHEAD CARE LLC
Entity Type:Organization
Organization Name:STEP AHEAD CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOKA
Authorized Official - Middle Name:
Authorized Official - Last Name:RADETA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-839-9136
Mailing Address - Street 1:7228 S 27TH ST
Mailing Address - Street 2:
Mailing Address - City:OAK CREEK
Mailing Address - State:WI
Mailing Address - Zip Code:53154-1700
Mailing Address - Country:US
Mailing Address - Phone:414-988-1068
Mailing Address - Fax:
Practice Address - Street 1:7228 S 27TH ST
Practice Address - Street 2:
Practice Address - City:OAK CREEK
Practice Address - State:WI
Practice Address - Zip Code:53154-1700
Practice Address - Country:US
Practice Address - Phone:414-988-1068
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-13
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health