Provider Demographics
NPI:1396127726
Name:STEPS TO HEAVEN SERVICES, LLC
Entity type:Organization
Organization Name:STEPS TO HEAVEN SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHELTON
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:818-861-7442
Mailing Address - Street 1:1946 W GLENOAKS BLVD
Mailing Address - Street 2:STE. B
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91201-1602
Mailing Address - Country:US
Mailing Address - Phone:818-806-8477
Mailing Address - Fax:888-774-2913
Practice Address - Street 1:1946 W GLENOAKS BLVD
Practice Address - Street 2:STE. B
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91201-1602
Practice Address - Country:US
Practice Address - Phone:818-861-7442
Practice Address - Fax:888-774-2913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-22
Last Update Date:2015-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN122140251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care