Provider Demographics
NPI:1568344760
Name:NEXT STEP LIVING RESIDENTIAL HOMES, INC
Entity type:Organization
Organization Name:NEXT STEP LIVING RESIDENTIAL HOMES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:TAMECA
Authorized Official - Middle Name:RASHAUN
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:QMHP, CSAC-A, PMP
Authorized Official - Phone:336-254-5163
Mailing Address - Street 1:196 SIMMONS LAKE DR
Mailing Address - Street 2:
Mailing Address - City:GIBSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27249-8942
Mailing Address - Country:US
Mailing Address - Phone:336-254-5163
Mailing Address - Fax:434-608-0504
Practice Address - Street 1:606 BROAD ST
Practice Address - Street 2:
Practice Address - City:SOUTH BOSTON
Practice Address - State:VA
Practice Address - Zip Code:24592-3200
Practice Address - Country:US
Practice Address - Phone:434-265-5004
Practice Address - Fax:434-608-0504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health