Healthcare Provider Details

I. General information

NPI: 1396607982
Provider Name (Legal Business Name): NEXT STEP LIVING AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5540 NW 61ST ST APT 414
COCONUT CREEK FL
33073-2514
US

IV. Provider business mailing address

5540 NW 61ST ST APT 414
COCONUT CREEK FL
33073-2514
US

V. Phone/Fax

Practice location:
  • Phone: 786-385-8951
  • Fax: 786-385-8951
Mailing address:
  • Phone: 786-385-8951
  • Fax: 786-385-8951

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: SEBASTIEN GRINMAN
Title or Position: OWNER
Credential:
Phone: 786-385-8951