Provider Demographics
NPI:1881211712
Name:NEXT STEP HOME CARE AGENCY
Entity Type:Organization
Organization Name:NEXT STEP HOME CARE AGENCY
Other - Org Name:NEXT STEP HOME CARE AGENCY
Other - Org Type:Other Name
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:LAVONNE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-307-9938
Mailing Address - Street 1:929 MARION ST
Mailing Address - Street 2:
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32114-6005
Mailing Address - Country:US
Mailing Address - Phone:386-307-9938
Mailing Address - Fax:
Practice Address - Street 1:929 MARION ST
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32114-6005
Practice Address - Country:US
Practice Address - Phone:386-307-9938
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-26
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL85130948Medicaid
FL107250800Medicaid