Healthcare Provider Details

I. General information

NPI: 1003725466
Provider Name (Legal Business Name): STEPPING STONES PREMIER HOMECARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 N THOMAS ST
BAXLEY GA
31513-0778
US

IV. Provider business mailing address

120 N THOMAS ST
BAXLEY GA
31513-0778
US

V. Phone/Fax

Practice location:
  • Phone: 912-278-0551
  • Fax: 912-208-4100
Mailing address:
  • Phone: 912-278-0551
  • Fax: 912-208-4100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JANET L FLOUNORY
Title or Position: CEO/AGENCY ADMINISTRATOR
Credential: LPC
Phone: 912-278-0551