Provider Demographics
NPI:1457951154
Name:STEPSCARE LLC
Entity Type:Organization
Organization Name:STEPSCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NAHASON
Authorized Official - Middle Name:K
Authorized Official - Last Name:ORENGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-561-6045
Mailing Address - Street 1:5871 CEDAR LAKE RD S STE 106
Mailing Address - Street 2:
Mailing Address - City:ST LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55416-1478
Mailing Address - Country:US
Mailing Address - Phone:413-561-6045
Mailing Address - Fax:
Practice Address - Street 1:5871 CEDAR LAKE RD S STE 106
Practice Address - Street 2:
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55416-1478
Practice Address - Country:US
Practice Address - Phone:413-561-6045
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-30
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XM0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistMental HealthGroup - Multi-Specialty