MEDICARE: NEXTSTEP FOR LIFE, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251C00000X	Developmentally Disabled Services Day Training Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003035726
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEXTSTEP FOR LIFE, INC

Provider Business Mailing Address
First Line	:	P.O. BOX 97
Second Line	:
City	:	MAPAVILLE
State	:	MO
Zip	:	63065-0097
Country	:	US
Telephone Number	:	636-282-4400
Fax Number	:	636-282-4410

Provider Business Practice Location Address
First Line	:	1615 VINE SCHOOL RD
Second Line	:
City	:	HERCULANEUM
State	:	MO
Zip	:	63048-1590
Country	:	US
Telephone Number	:	636-282-4400
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF FINANCE
Name	:	MS. STACY M. EMS
Credential	:
Telephone Number	:	636-282-4414

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	07/21/2022

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Directions to “NEXTSTEP FOR LIFE, INC ” Practice Location

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