Healthcare Provider Details

I. General information

NPI: 1053804716
Provider Name (Legal Business Name): NEXT STEPS SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2018
Last Update Date: 06/07/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

904 GRANTS PKWY
ARLINGTON TX
76014-1318
US

IV. Provider business mailing address

PO BOX 40337
FORT WORTH TX
76140-0337
US

V. Phone/Fax

Practice location:
  • Phone: 817-523-1719
  • Fax:
Mailing address:
  • Phone: 817-523-1719
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: KENDRA DAVIS
Title or Position: PROGRAM MANAGER/ADMINISTRATOR
Credential:
Phone: 817-523-1719