Healthcare Provider Details

I. General information

NPI: 1235995382
Provider Name (Legal Business Name): NEXT STEP UP CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2024
Last Update Date: 02/26/2024
Certification Date: 02/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4250 N DRINKWATER BLVD
SCOTTSDALE AZ
85251-3981
US

IV. Provider business mailing address

3696 HIGHPOINT CT
SNELLVILLE GA
30078
US

V. Phone/Fax

Practice location:
  • Phone: 719-517-6905
  • Fax: 585-502-1157
Mailing address:
  • Phone: 719-517-6905
  • Fax: 585-502-1157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2278H0200X
TaxonomyHome Health Certified Respiratory Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2279H0200X
TaxonomyHome Health Registered Respiratory Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code364SH0200X
TaxonomyHome Health Clinical Nurse Specialist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SHARON A PEART
Title or Position: CEO/PRESIDENT
Credential:
Phone: 866-926-0035