FIRST STEP COMMUNITY CARE LLC (NPI# 1235470139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235470139 |
| Entity Type | Organization |
| Organization Name | FIRST STEP COMMUNITY CARE LLC |
| Practice Address |
2633 South Liberty St Ste B Canton MS 39046 |
| Mailing Address |
Po Box 1496 Canton MS 39046-1496 |
| Practice Telephone | 6015000637 |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2013-03-04 |
| Authorized Official Name | MRS. NATWASSIE TRULY (CEO) |
| Authorized Official Telephone | 6015000637 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372500000X | Chore Provider | Nursing Service Related Providers | ||
| N | 372600000X | Adult Companion | MS | Nursing Service Related Providers | |
| N | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers | ||
| N | 376J00000X | Homemaker | Nursing Service Related Providers | ||
| Y | 372600000X | Adult Companion | Nursing Service Related Providers |
| Street Address |
2633 SOUTH LIBERTY ST STE B |
| City | CANTON |
| State | MS |
| Zip Code | 39046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043858053 | Pediatric Haven | Skilled Nursing Facility | 112 Westfalen Drive, Canton, MS 39046 | 2019-12-20 |
| 1932743176 | Stacey Elizabeth Aldridge | Social Worker | 210 E Peace Street, Canton, MS 39046 | 2019-10-31 |
| 1881245736 | Mildred Loving | Technician | 323 Shady Lane, Canton, MS 39046 | 2019-09-23 |
| 1295384683 | Betty Bass | Technician | 693 Miggins Road, Canton, MS 39046 | 2019-09-09 |
| 1972081644 | Charles Brayden Jones | Physical Therapist | 276 Nissan Pkwy Ste 400, Canton, MS 39046 | 2018-08-03 |
| 1013436062 | Andrew J Breland | Counselor | 210 E Peace St, Canton, MS 39046 | 2017-09-11 |
| 1801318290 | Mississippi Enjoy Breastfeeding Shalom Resource Center | Clinic/Center | 343 Smith Street, Canton, MS 39046 | 2017-07-07 |
| 1619362977 | Shameca Hudson | Nurse Practitioner | 274 Cobbville Dr E, Canton, MS 39046 | 2015-04-03 |
| 1144644386 | Margaret Reimers Beckwith | Chiropractor | 124 Links Drive, I-103, Canton, MS 39046 | 2014-02-07 |
| 1053753194 | Tanya Linette Calhoun | Nurse Practitioner | 1171 Hart Street, Canton, MS 39046 | 2013-07-17 |
| Find all providers in zip 39046 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720435738 | Tina Marie Wapinski | Adult Companion | 620 Ingram Ave Sw, Canton, OH 44710-1685 | 2016-05-19 |
| 1386031094 | Nicole M Mack | Adult Companion | 618 W Academy St, Canton, MS 39046-4225 | 2015-04-20 |
| 1215142187 | Lora Jane Boyce | Adult Companion | 1635 Yale Ave Nw, Canton, OH 44703-1602 | 2007-05-13 |
| 1972929495 | Jennifer Brown | Adult Companion | 1030 Turnpike St, Canton, MA 02021-2827 | 2014-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689283806 | Gracious Blessings LLC | Adult Companion | 114 3rd Street, Osyka, MS 39657-3965 | 2020-07-23 |
| 1114579000 | Tambra Latrice Roberts | Adult Companion | 515 Hwy 178 East Hollysprings, Hollysprings, MS 38635-2523 | 2019-07-11 |
| 1871089797 | Levon Daniels | Adult Companion | 160 Broadway St Apt K7, Clinton, MS 39056-4842 | 2018-07-03 |
| 1457869190 | Lakisha Ann Mcmorris | Adult Companion | 300 Byram Drive, Apt 51d, Byram, MS 39272 | 2018-01-16 |
| 1316452501 | Professional Staffing Solutions Adult Day Services, LLC | Adult Companion | 1633 Broadway Ext N # P, Greenville, MS 38703-1942 | 2017-12-09 |
| 1174037881 | Emma Womack | Adult Companion | 5430 Executive Pl Ste 2g, Jackson, MS 39206-4134 | 2017-11-17 |
| 1821501099 | Sunny Days At Home Healthcare, LLC | Adult Companion | 350 N Mart Plz Ste K, Jackson, MS 39206-5319 | 2017-11-09 |
| 1851847586 | Tiffany Lashea Jones | Adult Companion | 8755 Millbranch Road, Southaven, MS 38671 | 2016-09-01 |
| 1497112700 | Angela Richburg | Adult Companion | 7285 Woolmarket Rd, H350, Biloxi, MS 39532-7846 | 2016-01-19 |
| 1992178958 | Angela Bratton | Adult Companion | 1219 Rockingham Dr, Clinton, MS 39056-3543 | 2015-11-12 |
| Find all providers with the same taxonomy | ||||
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| 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.