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AWESOME STEP DEVELOPMENT NPI 1841723020


NPI Information

NPI: 1841723020
Provider Name: AWESOME STEP DEVELOPMENT
Classification: Home Health - 251E00000X
Entity Type: Organization
Address:
6316 SAN JUAN AVE
STE. 15A
JACKSONVILLE, FL
ZIP 32210
Phone: (904) 802-7163
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AWESOME STEP DEVELOPMENT is a home health in Jacksonville, FL. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. AWESOME STEP DEVELOPMENT NPI is 1841723020. The provider is registered as an organization entity type.

The provider's business location address is:

6316 SAN JUAN AVE
STE. 15A
JACKSONVILLE, FL
ZIP 32210-831
Phone: (904) 802-7163
Fax: (904) 672-7654

The provider's authorized official is Helen Amos .
The authorized official title is Owner and has the following contact phone number (904) 908-0014.

The enumeration date for this NPI number is 4/5/2017 and was last updated on 4/5/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251E00000XHome Health006386700FLORIDANo
2253Z00000XIn Home Supportive Care002552700FLORIDANo
3253Z00000XIn Home Supportive Care006386700FLORIDANo
4385H00000XRespite Care002552700FLORIDANo
5385H00000XRespite Care006386700FLORIDANo
6385HR2055XRespite CareRespite Care, Mental Illness, Child002552700FLORIDANo
7385HR2055XRespite CareRespite Care, Mental Illness, Child006386700FLORIDANo
8385HR2060XRespite CareRespite Care, Intellectual and/or Developmental Disabilities002552700FLORIDANo
9385HR2060XRespite CareRespite Care, Intellectual and/or Developmental Disabilities006386700FLORIDANo
10385HR2065XRespite CareRespite Care, Physical Disabilities, Child002552700FLORIDANo
11385HR2065XRespite CareRespite Care, Physical Disabilities, Child006386700FLORIDANo
12251E00000XHome Health002552700FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1006386700MEDICAIDFLORIDA
216814OTHERFLORIDAHOMEMAKER AND COMPANION SERVICES
3002552700MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.