Provider Demographics
NPI:1710686001
Name:STEPS OF LIFE HEALTHCARE LLC
Entity Type:Organization
Organization Name:STEPS OF LIFE HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KANDACE
Authorized Official - Middle Name:L
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:713-208-6126
Mailing Address - Street 1:17506 GREYSTANES RD
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-4875
Mailing Address - Country:US
Mailing Address - Phone:713-208-6126
Mailing Address - Fax:
Practice Address - Street 1:17506 GREYSTANES RD
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346-4875
Practice Address - Country:US
Practice Address - Phone:713-208-6126
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-27
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based