Step Up From Grace

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

STEP UP FROM GRACE

Practice address

11600 Beckford Ave
Princess Anne, MD 21853-1152

Phone

(443) 868-4473

NPI assigned

Oct 17, 2022

Last updated

Dec 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Latisha Milbourne

Title

Clinical Director / Owner

Phone

(410) 831-1577

Specialties & licenses 1

Addresses

Electronic endpoints 1

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.

• Step Up From Grace

  • Substance Abuse Rehabilitation Facility
  • Salisbury, MD
  • NPI 1669136933
  NPD tax ID
• Step Up From Grace, LLC

  • Substance Abuse Rehabilitation Facility
  • Salisbury, MD
  • NPI 1306659057
  NPD tax ID
• Step Up From Grace, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Salisbury, MD
  • NPI 1417726837
  NPD tax ID

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1699491019",
    "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": "11600 BECKFORD AVE",
            "city": "PRINCESS ANNE",
            "state": "MD",
            "postal_code": "218531152",
            "telephone_number": "443-868-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEP UP FROM GRACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-17",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "MILBOURNE",
        "authorized_official_first_name": "LATISHA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR / OWNER",
        "authorized_official_telephone_number": "410-831-1577"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "stepupfromgracellc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11600 Beckford Ave",
            "city": "Princess Anne",
            "state": "MD",
            "country_code": "US",
            "postal_code": "218531152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Jon R Spence, PHARMACIST
• Charles Donald Stegman Jr., MD
• Courtney Paige Stewart, MSN, PMHNP-BC
• Marie T Swartz, PT
• Tiffany A Swift, LCSW-C
• Shasta Dennine Taylor, LCPC, LCADC, NCC
• Tamicka Rinet Taylor, LCSW-C

• Substance Abuse Rehabilitation Facility in Princess Anne, MD
• Providers in Princess Anne, MD by specialty
• Substance Abuse Rehabilitation Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.