Provider Demographics
NPI: | 1699516021 |
---|---|
Name: | ONE STEP CARE SERVICE PROVIDER LLC |
Entity type: | Organization |
Organization Name: | ONE STEP CARE SERVICE PROVIDER LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | |
Authorized Official - First Name: | CHYENNE |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | WALKER |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 614-949-3115 |
Mailing Address - Street 1: | 1747 OLENTANGY RIVER RD STE 1288 |
Mailing Address - Street 2: | |
Mailing Address - City: | COLUMBUS |
Mailing Address - State: | OH |
Mailing Address - Zip Code: | 43212-1453 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 614-949-3115 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 1235 PREEMAN ST |
Practice Address - Street 2: | |
Practice Address - City: | BLACKLICK |
Practice Address - State: | OH |
Practice Address - Zip Code: | 43004-8787 |
Practice Address - Country: | US |
Practice Address - Phone: | 614-949-3115 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2024-05-31 |
Last Update Date: | 2025-07-19 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251E00000X | Agencies | Home Health | |
No | 251C00000X | Agencies | Day Training, Developmentally Disabled Services | |
No | 253Z00000X | Agencies | In Home Supportive Care |