Provider Demographics
NPI:1093073199
Name:IN STEP HEALTH CARE SERVICES LLC.
Entity type:Organization
Organization Name:IN STEP HEALTH CARE SERVICES LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:M
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:216-659-9876
Mailing Address - Street 1:9050 MEMPHIS AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:OH
Mailing Address - Zip Code:44144-2139
Mailing Address - Country:US
Mailing Address - Phone:888-596-4771
Mailing Address - Fax:216-635-9427
Practice Address - Street 1:9050 MEMPHIS AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:OH
Practice Address - Zip Code:44144-2139
Practice Address - Country:US
Practice Address - Phone:888-596-4771
Practice Address - Fax:216-635-9427
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-25
Last Update Date:2012-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3148310Medicaid