MEDICARE: NEXT STEP FAMILY SERVICES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	385HR2050X	Respite Care Camp	129403	OH

General Provider Information

NPI Number	:	1376775247
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEXT STEP FAMILY SERVICES, INC

Provider Business Mailing Address
First Line	:	6612 STOLL LN
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45236-4037
Country	:	US
Telephone Number	:	513-793-6612
Fax Number	:

Provider Business Practice Location Address
First Line	:	917 YALE AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45206-1233
Country	:	US
Telephone Number	:	513-503-9859
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. SHIRLEY A JASON
Credential	:	B.A.
Telephone Number	:	513-793-6612

Provider Enumeration Date	:	08/11/2009
Last Update Date	:	08/11/2009

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