MEDICARE: STEPS IN FAITH, 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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1063062206
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEPS IN FAITH, INC.

Provider Business Mailing Address
First Line	:	5155 SCOFIELD RD
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30349-3301
Country	:	US
Telephone Number	:	470-326-0286
Fax Number	:

Provider Business Practice Location Address
First Line	:	5155 SCOFIELD RD
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30349-3301
Country	:	US
Telephone Number	:	470-326-0286
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	AUGUSTINA GIBSON
Credential	:
Telephone Number	:	404-449-6044

Provider Enumeration Date	:	09/19/2019
Last Update Date	:	09/19/2019

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