NPIMap

Organization Active NPI

Step Up From Grace, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Salisbury, MD
National Provider Identifier
1417726837
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
STEP UP FROM GRACE, LLC
Practice address
1304 S Division St Ste 1
Salisbury, MD 21804-6999
Phone
(410) 831-1577
NPI assigned
Dec 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Latisha Milbourne
Title
Owner/ Clinical Director
Phone
(410) 831-1577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

1304 S Division St Ste 1
Salisbury, MD 21804-6999

Mailing address

514 Rose St
Salisbury, MD 21801-3587
Phone (410) 831-1577

National Provider Directory

National Provider Directory
Tax ID family
Step Up From Grace4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1417726837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 ROSE ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218013587",
            "telephone_number": "410-831-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 S DIVISION ST STE 1",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218046999",
            "telephone_number": "410-831-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEP UP FROM GRACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-27",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "MILBOURNE",
        "authorized_official_first_name": "LATISHA",
        "authorized_official_title_or_position": "OWNER/ CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "410-831-1577"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.