MEDICARE: NEXTSTEP LIFECARE LLC

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1598465858
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEXTSTEP LIFECARE LLC

Provider Business Mailing Address
First Line	:	6121 65TH AVE N APT 106
Second Line	:
City	:	BROOKLYN PARK
State	:	MN
Zip	:	55429-1949
Country	:	US
Telephone Number	:	612-447-5642
Fax Number	:

Provider Business Practice Location Address
First Line	:	6121 65TH AVE N APT 106
Second Line	:
City	:	BROOKLYN PARK
State	:	MN
Zip	:	55429-1949
Country	:	US
Telephone Number	:	612-447-5642
Fax Number	:

Authorized Official
Title or Position	:	CEO/PRESIDENT
Name	:	PATRICK GABRIEL ARKANGELO
Credential	:
Telephone Number	:	612-447-5642

Provider Enumeration Date	:	03/06/2023
Last Update Date	:	04/26/2023

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Directions to “NEXTSTEP LIFECARE LLC ” Practice Location

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