Provider Demographics
NPI:1053338822
Name:STEP BY STEP DME, LLC
Entity type:Organization
Organization Name:STEP BY STEP DME, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:P
Authorized Official - Last Name:ANAYA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:970-370-3513
Mailing Address - Street 1:909 BUSINESS PARK DR STE 10
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-6054
Mailing Address - Country:US
Mailing Address - Phone:956-961-4288
Mailing Address - Fax:956-961-4314
Practice Address - Street 1:909 BUSINESS PARK DR
Practice Address - Street 2:SUITE 10
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-6052
Practice Address - Country:US
Practice Address - Phone:956-961-4288
Practice Address - Fax:956-961-4314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-16
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX012248251E00000X
3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX196745701Medicaid
TXHH551KOtherBCBS
TX012248OtherTEXAS LICENSE NUMBER