NPI Code Details Logo

NPI 1760299101

NPI 1760299101 : ONE STEP TRANSITIONAL HOME MINISTRY, INC : JACKSONVILLE, NC

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1760299101
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ONE STEP TRANSITIONAL HOME MINISTRY, INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/18/2024
-----------------------------------------------------
    Last Update Date     |    10/29/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    625 COLLEGE ST 
-----------------------------------------------------
    City                 |    JACKSONVILLE
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    28540-5310
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    910-650-1297
-----------------------------------------------------
    Fax                  |    910-378-7014
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 872 
-----------------------------------------------------
    City                 |    JACKSONVILLE
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    28541-0872
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    252-503-2978
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PRESIDENT/ CEO
-----------------------------------------------------
    Name                 |    MR. RICHARD  RYAN 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    910-650-1297
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251V00000X
-----------------------------------------------------
    Taxonomy Name        |    Voluntary or Charitable Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    332U00000X
-----------------------------------------------------
    Taxonomy Name        |    Home Delivered Meals
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    251K00000X
-----------------------------------------------------
    Taxonomy Name        |    Public Health or Welfare Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    347C00000X
-----------------------------------------------------
    Taxonomy Name        |    Private Vehicle
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    343900000X
-----------------------------------------------------
    Taxonomy Name        |    Non-emergency Medical Transport (VAN)
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.