Provider Demographics
NPI: | 1578328266 |
---|---|
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: | ANGELLA |
Authorized Official - Last Name: | PEART |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 719-517-6905 |
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: | 10 W BROADWAY |
Practice Address - Street 2: | |
Practice Address - City: | SALT LAKE CITY |
Practice Address - State: | UT |
Practice Address - Zip Code: | 84101-2002 |
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: | 2024-02-21 |
Last Update Date: | 2024-02-21 |
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 | 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 | 2081H0002X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | Hospice and Palliative Medicine | Group - Multi-Specialty |
No | 2085H0002X | Allopathic & Osteopathic Physicians | Radiology | Hospice and Palliative Medicine | Group - Multi-Specialty |
No | 2086H0002X | Allopathic & Osteopathic Physicians | Surgery | Hospice and Palliative Medicine | Group - Multi-Specialty |
No | 2278P3800X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | Palliative/Hospice | Group - Multi-Specialty |
No | 2279P3800X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Palliative/Hospice | Group - Multi-Specialty |
No | 315D00000X | Nursing & Custodial Care Facilities | Hospice, Inpatient |