Healthcare Provider Details

I. General information

NPI: 1588899918
Provider Name (Legal Business Name): STEP BY STEP SENIOR CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2009
Last Update Date: 12/30/2023
Certification Date: 12/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6917 GEYER SPRINGS RD STE 6S
LITTLE ROCK AR
72209-2760
US

IV. Provider business mailing address

6917 GEYER SPRINGS RD STE 6S
LITTLE ROCK AR
72209-2760
US

V. Phone/Fax

Practice location:
  • Phone: 501-562-0880
  • Fax: 501-562-0998
Mailing address:
  • Phone: 501-562-0880
  • Fax: 501-562-0998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: CLARISE TATUM
Title or Position: ADMINISTRATOR
Credential:
Phone: 501-563-5281