Provider Demographics
| NPI: | 1386409290 |
|---|---|
| Name: | NEXT STEP UP CORP |
| Entity type: | Organization |
| Organization Name: | NEXT STEP UP CORP |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CEO/PRESIDENT |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | SHARON |
| Authorized Official - Middle Name: | A |
| Authorized Official - Last Name: | PEART |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 866-926-0035 |
| Mailing Address - Street 1: | 3296 HIGHPOINT CT |
| Mailing Address - Street 2: | |
| Mailing Address - City: | SNELLVILLE |
| Mailing Address - State: | GA |
| Mailing Address - Zip Code: | 30078-7401 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 719-517-6905 |
| Mailing Address - Fax: | 585-502-1157 |
| Practice Address - Street 1: | 75 ARLINGTON ST |
| Practice Address - Street 2: | |
| Practice Address - City: | BOSTON |
| Practice Address - State: | MA |
| Practice Address - Zip Code: | 02116-3936 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 719-517-6905 |
| Practice Address - Fax: | 585-502-1157 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | Yes |
| Parent Organization LBN: | NEXT STEP UP CORP |
| Parent Organization TIN: | <UNAVAIL> |
| Enumeration Date: | 2024-02-20 |
| Last Update Date: | 2024-02-20 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 251G00000X | Agencies | Hospice Care, Community Based | ||
| No | 163WH1000X | Nursing Service Providers | Registered Nurse | Hospice | Group - Multi-Specialty |
| No | 207LH0002X | Allopathic & Osteopathic Physicians | Anesthesiology | Hospice and Palliative Medicine | Group - Multi-Specialty |
| No | 207PH0002X | Allopathic & Osteopathic Physicians | Emergency Medicine | Hospice and Palliative Medicine | Group - Multi-Specialty |
| No | 207QH0002X | Allopathic & Osteopathic Physicians | Family Medicine | Hospice and Palliative Medicine | Group - Multi-Specialty |
| No | 207RH0002X | Allopathic & Osteopathic Physicians | Internal Medicine | Hospice and Palliative Medicine | Group - Multi-Specialty |
| No | 207VH0002X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Hospice and Palliative Medicine | Group - Multi-Specialty |
| No | 2080H0002X | Allopathic & Osteopathic Physicians | Pediatrics | Hospice and Palliative Medicine | Group - Multi-Specialty |
| No | 2084H0002X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Hospice and Palliative Medicine | Group - Multi-Specialty |
| No | 315D00000X | Nursing & Custodial Care Facilities | Hospice, Inpatient |