Provider Demographics
NPI:1093450249
Name:STEP BY STEP HEALTH, INC.
Entity type:Organization
Organization Name:STEP BY STEP HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PHYLLIS
Authorized Official - Middle Name:
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:501-541-8311
Mailing Address - Street 1:16 MARCHWOOD CV
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72210-3704
Mailing Address - Country:US
Mailing Address - Phone:501-541-8311
Mailing Address - Fax:501-891-6028
Practice Address - Street 1:7123 I 30 STE 2
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72209-3165
Practice Address - Country:US
Practice Address - Phone:501-541-8311
Practice Address - Fax:501-891-6028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-02
Last Update Date:2022-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR177976732Medicaid