Provider Demographics
NPI:1588359848
Name:GOOD STEP LLC
Entity type:Organization
Organization Name:GOOD STEP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:EFIONAYI
Authorized Official - Last Name:AIMUANVBOSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-450-2263
Mailing Address - Street 1:24305 CHAMPAIGN ST
Mailing Address - Street 2:
Mailing Address - City:TAYLOR
Mailing Address - State:MI
Mailing Address - Zip Code:48180-2122
Mailing Address - Country:US
Mailing Address - Phone:419-450-2263
Mailing Address - Fax:
Practice Address - Street 1:24305 CHAMPAIGN ST
Practice Address - Street 2:
Practice Address - City:TAYLOR
Practice Address - State:MI
Practice Address - Zip Code:48180-2122
Practice Address - Country:US
Practice Address - Phone:419-450-2263
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-11
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care