Provider Demographics
NPI:1477318335
Name:STEP UP MOBILITY AND MEDICAL SUPPLIES LLC
Entity type:Organization
Organization Name:STEP UP MOBILITY AND MEDICAL SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROWENA
Authorized Official - Middle Name:
Authorized Official - Last Name:JEAN-BAPTISTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-786-6529
Mailing Address - Street 1:1785 ALMADEN RD APT 518
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95125-1974
Mailing Address - Country:US
Mailing Address - Phone:408-786-6529
Mailing Address - Fax:707-638-0395
Practice Address - Street 1:1833 SPRINGS RD STE D
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94591-5526
Practice Address - Country:US
Practice Address - Phone:408-786-6529
Practice Address - Fax:707-638-0935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-19
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies