Provider Demographics
NPI:1811591159
Name:STEP UP STAFFING, LLC
Entity Type:Organization
Organization Name:STEP UP STAFFING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:LYNETTE
Authorized Official - Middle Name:LORRAINE
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:MA, HHA, NA
Authorized Official - Phone:513-382-9933
Mailing Address - Street 1:1435 VINE ST.
Mailing Address - Street 2:2ND FLOOR RECEPTION DESK
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45202
Mailing Address - Country:US
Mailing Address - Phone:513-485-0002
Mailing Address - Fax:
Practice Address - Street 1:730 DERBY AVE #1
Practice Address - Street 2:1
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45232
Practice Address - Country:US
Practice Address - Phone:513-382-9933
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-27
Last Update Date:2020-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health