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NPI Code Detail

MEDICARE: A STEP AHEAD, LLC

MEDICARE: A STEP AHEAD, LLC
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
1335E00000XProsthetic/Orthotic SupplierORT0000000184TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
283035OTHERTNNORTHWOOD
31256593OTHERTNAMERIGROUP
4ASTE6255-0000OTHERTNLINKIA
5002366979501OTHERTNUNITED HEALTH CARE COMMUNITY PLAN

General Provider Information

NPI Number : 1184081952
Entity Type Code : Organization
Provider Name (Legal Business Name) : A STEP AHEAD, LLC
Provider Business Mailing Address
First Line : 718 THOMPSON LN
Second Line : STE 115
City : NASHVILLE
State : TN
Zip : 37204-3600
Country : US
Telephone Number : 615-383-0048
Fax Number : 615-383-1588
Provider Business Practice Location Address
First Line : 1703 GROVE ST
Second Line :
City : COLUMBIA
State : TN
Zip : 38401-3517
Country : US
Telephone Number : 615-383-0048
Fax Number : 615-383-1588
Authorized Official
Title or Position : COO
Name : MR. JOSHUA MATHEW RIEGER
Credential :
Telephone Number : 615-383-0048
Provider Enumeration Date : 01/25/2016
Last Update Date : 08/31/2016

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Directions to “A STEP AHEAD, LLC ” Practice Location

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