Provider Demographics
NPI:1275374019
Name:NEXT STEP FORWARD COMMUNITY DEVELOPMENT CORPORATION
Entity type:Organization
Organization Name:NEXT STEP FORWARD COMMUNITY DEVELOPMENT CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:CROFT
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:618-433-1008
Mailing Address - Street 1:2710 COLLEGE AVE
Mailing Address - Street 2:LOWER LEVEL (LL-1)
Mailing Address - City:ALTON
Mailing Address - State:IL
Mailing Address - Zip Code:62002
Mailing Address - Country:US
Mailing Address - Phone:618-433-1008
Mailing Address - Fax:618-433-1008
Practice Address - Street 1:2710 COLLEGE AVE
Practice Address - Street 2:LOWER LEVEL (LL-1)
Practice Address - City:ALTON
Practice Address - State:IL
Practice Address - Zip Code:62002
Practice Address - Country:US
Practice Address - Phone:618-433-1008
Practice Address - Fax:618-433-1008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-05
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
No253Z00000XAgenciesIn Home Supportive Care
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities