Nextstep for Life, Inc.
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Imperial, MO
NPI 1063639722 · NPPES record last updated Jul 12, 2017
Key facts
- NPI
- 1063639722
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- Legal business name
- NEXTSTEP FOR LIFE, INC.
- Practice address
- 5107 Darkmoor LN
Imperial, MO 63052-3032 - Phone
- (636) 464-6562
- Fax
- (636) 464-6562
- NPI assigned
- Apr 20, 2007
- Organization subpart
- No
Authorized official
- Name
- Ms. Stacy M. EMS
- Title
- Director of Finance
- Phone
- (636) 282-4414
Corporate family (same tax ID) 6
National Provider Directory
- Tax ID family
- Developmental Services of Jefferson County Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Yes |
Addresses
Primary practice location
5107 Darkmoor LN
Imperial, MO 63052-3032
Mailing address
PO Box 97
Mapaville, MO 63065-0097
Phone (636) 282-4400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 852075050 | Medicaid | MO |
Other names
- DSJC-DM
Other providers in Imperial, MO
- Kaitlyn Marie Monaco
- Andrea Christine Muir
- Kimberly Mullins
- Conner Naes
- Tamera Newberry
- Theresa Renee Nickolaus
- Matthew Thomas Nosser II
- Tasha Olin
- Alexis Olson
- Madison Lynn Owens
All providers in Imperial, MO · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.