Healthcare Provider Details

I. General information

NPI: 1700575107
Provider Name (Legal Business Name): A STEP BEYOND HOME CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2023
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

272 S COLUMBIA AVE STE 104
RINCON GA
31326-9454
US

IV. Provider business mailing address

PO BOX 2206
RINCON GA
31326-2206
US

V. Phone/Fax

Practice location:
  • Phone: 912-826-3749
  • Fax: 912-826-3901
Mailing address:
  • Phone: 912-826-3749
  • Fax: 912-826-3901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: KYIESHA REAVES
Title or Position: OWNER/ ADMIN
Credential:
Phone: 843-941-1724