Provider Demographics
NPI:1427421387
Name:A STEP AHEAD HOMECARE LLC
Entity type:Organization
Organization Name:A STEP AHEAD HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MELODY
Authorized Official - Middle Name:
Authorized Official - Last Name:BURTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:769-257-7448
Mailing Address - Street 1:106 CEDARS OF LEBANON RD
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39206-3504
Mailing Address - Country:US
Mailing Address - Phone:769-257-7448
Mailing Address - Fax:888-351-3761
Practice Address - Street 1:106 CEDARS OF LEBANON RD
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39206-3504
Practice Address - Country:US
Practice Address - Phone:769-257-7448
Practice Address - Fax:888-351-3761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-01
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
253Z00000X
MS385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care