Organization
STEPABOVE HOME CARE LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMONIQUE MICHELLE VENABLE STNA (OWNER)
(234) 855-6311
Entity
Organization
Contact information
Practice address
1103 DETROIT AVE, YOUNGSTOWN, OH 44502-2811
(234) 855-6311
Mailing address
1103 DETROIT AVE, YOUNGSTOWN, OH 44502-2811
(234) 855-6311
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
374700000X
Technician
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0225862
—
OH
Enumeration date
03/21/2018
Last updated
03/21/2018
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