Healthcare Provider Details

I. General information

NPI: 1306650726
Provider Name (Legal Business Name): NEXTSTEP SUPPORT SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2025
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3746 S 300 E
SOUTH SALT LAKE UT
84115-4822
US

IV. Provider business mailing address

1422 E VINEYARD CT
SALT LAKE CITY UT
84106-4406
US

V. Phone/Fax

Practice location:
  • Phone: 801-800-1522
  • Fax:
Mailing address:
  • Phone: 801-800-1522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: DANIELLE TUPUA
Title or Position: EXCUTIVE DIRECTOR
Credential:
Phone: 801-800-1522