1568344760 NPI number — NEXT STEP LIVING RESIDENTIAL HOMES, INC

Table of content: (NPI 1568344760)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568344760 NPI number — NEXT STEP LIVING RESIDENTIAL HOMES, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEXT STEP LIVING RESIDENTIAL HOMES, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1568344760
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
196 SIMMONS LAKE DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GIBSONVILLE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27249-8942
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
336-254-5163
Provider Business Mailing Address Fax Number:
434-608-0504

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
606 BROAD ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SOUTH BOSTON
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
24592-3200
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
434-265-5004
Provider Business Practice Location Address Fax Number:
434-608-0504
Provider Enumeration Date:
07/21/2025

Additional Information

Authorized Official

Authorized Official Last Name:
RICHARDSON
Authorized Official First Name:
TAMECA
Authorized Official Middle Name:
RASHAUN
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
336-254-5163

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YA0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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