Healthcare Provider Details

I. General information

NPI: 1083542435
Provider Name (Legal Business Name): NEXT STEP GROUP HOME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 09/27/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31456 FAIRCHILD ST
WESTLAND MI
48186-4908
US

IV. Provider business mailing address

31456 FAIRCHILD ST
WESTLAND MI
48186-4908
US

V. Phone/Fax

Practice location:
  • Phone: 248-504-7948
  • Fax:
Mailing address:
  • Phone: 248-504-7948
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License Number
License Number State

VIII. Authorized Official

Name: JAMES RAYIS
Title or Position: OPERATOR
Credential:
Phone: 734-288-7948