Organization
AWESOME STEP DEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HELEN AMOS (OWNER)
(904) 908-0014
Entity
Organization
Contact information
Practice address
6316 SAN JUAN AVE, STE. 15A, JACKSONVILLE, FL 32210-2831
(904) 802-7163
(904) 672-7654
Mailing address
6316 SAN JUAN AVE, STE. 15A, JACKSONVILLE, FL 32210-2831
(904) 802-7163
(904) 672-7654
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
002552700
FL
251E00000X
Home Health Agency
006386700
FL
253Z00000X
In Home Supportive Care Agency
002552700
FL
253Z00000X
In Home Supportive Care Agency
006386700
FL
385H00000X
Respite Care
002552700
FL
385H00000X
Respite Care
006386700
FL
385HR2055X
Child Mental Illness Respite Care
002552700
FL
385HR2055X
Child Mental Illness Respite Care
006386700
FL
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
002552700
FL
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
006386700
FL
385HR2065X
Child Physical Disabilities Respite Care
002552700
FL
385HR2065X
Child Physical Disabilities Respite Care
006386700
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002552700
—
FL
05
—
006386700
—
FL
01
—
16814
HOMEMAKER AND COMPANION SERVICES
FL
Enumeration date
04/05/2017
Last updated
04/05/2017
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