NEXTSTEP FOR LIFE, INC.


Address: 5107 Darkmoor Ln, Imperial, MO 63052-3032
Phone: 6364646562

NEXTSTEP FOR LIFE, INC. (NPI# 1063639722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063639722
Entity Type Organization
Organization Name NEXTSTEP FOR LIFE, INC.
Other Organization Name DSJC-DM
Practice Address 5107 Darkmoor Ln
Imperial
MO 63052-3032
Mailing Address Po Box 97
Mapaville
MO 63065-0097
Practice Telephone 6364646562
Practice Fax Number 6364646562
Mailing Telephone 6362824400
Mailing Fax Number 6362824410
Enumeration Date 2007-04-20
Last Update Date 2017-07-12
Authorized Official Name MS. STACY M. EMS (DIRECTOR OF FINANCE)
Authorized Official Telephone 6362824414
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MO 852075050 05

Other Provider/Organization Names

Other Name Type Code
DSJC-DM Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1912126632 Nextstep for Life, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1997 Pomme Rd, Arnold, MO 63010-2481 2007-04-24
1437377314 Nextstep for Life, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3653 Baptist Park Rd, Mapaville, MO 63065-0001 2007-04-23
1760609432 Nextstep for Life, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 9825 Round Table Ct, Hillsboro, MO 63050-3973 2007-04-20

Office Location

Street Address 5107 DARKMOOR LN
City IMPERIAL
State MO
Zip Code 63052-3032

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1578029419 Laura Lea Raineri Nurse Practitioner 1254 Main St, Imperial, MO 63052 2019-02-15
1033362900 Angela Fears Speech-Language Pathologist 6208 Us Highway 61/67, Imperial, MO 63052 2008-10-23
1437302379 Mary Peterein Speech-Language Pathologist 6208 Us Highway 61/67, Imperial, MO 63052 2008-10-23
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1609475516 Brandi Janelle Hickman Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 8706 Newton Ave Apt 4101, Kansas City, MO 64138-5461 2020-10-21
1154935112 Overcomers Counseling Center Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 17101 East 203rd St, Peculiar, MO 64078 2020-09-06
1386265965 Candace Palmer Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2405 Bowe Ln, Jefferson City, MO 65109-9116 2020-05-05
1902426596 Matt Ferguson Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4480 Bradley Dr, Joplin, MO 64804-5503 2020-04-23
1689206211 Insight Industry LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2501 Ne Prairie Falcon Dr, Blue Springs, MO 64014-1958 2020-02-11
1598306904 Hearo Technologies LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 405 N Jefferson Ave Ste 1063, Springfield, MO 65806-1110 2019-10-07
1437790219 Darin Roark Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2628 Se Kimbrough Ln, Lees Summit, MO 64063-1082 2019-10-03
1942851399 Wyatt's Dream Center Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 205 State Highway Aa, Sikeston, MO 63801-5303 2019-09-26
1043871908 Cura Personalis, (care for The Whole Person), LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 11650 Bobwhite Road, Carthage, MO 64836 2019-06-21
1043870181 Rebuild Contracting LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1783 Possum Hollow Dr, Camdenton, MO 65020-6709 2019-06-20
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Competitor

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City IMPERIAL
Zip Code 63052

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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