Provider Demographics
NPI:1679144943
Name:1 STEP AT A TIME HOME CARE LLC
Entity type:Organization
Organization Name:1 STEP AT A TIME HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SANTANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEPARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-903-5149
Mailing Address - Street 1:7670 BUCKNELL TER
Mailing Address - Street 2:
Mailing Address - City:FAIRBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30213-5530
Mailing Address - Country:US
Mailing Address - Phone:404-903-5149
Mailing Address - Fax:
Practice Address - Street 1:7670 BUCKNELL TER
Practice Address - Street 2:
Practice Address - City:FAIRBURN
Practice Address - State:GA
Practice Address - Zip Code:30213-5530
Practice Address - Country:US
Practice Address - Phone:404-903-5149
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-07
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care