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A STEP FORWARD INC. NPI 1205295102


NPI Information

NPI: 1205295102
Provider Name: A STEP FORWARD INC.
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
5310 E WILLIAM STREET RD
DECATUR, IL
ZIP 62521
Phone: (217) 422-6361
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A STEP FORWARD INC. is a day training developmentally disabled services in Decatur, IL. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. A STEP FORWARD INC. NPI is 1205295102. The provider is registered as an organization entity type.

The provider's business location address is:

5310 E WILLIAM STREET RD
DECATUR, IL
ZIP 62521-874
Phone: (217) 422-6361

The provider's authorized official is Jeremy Ray Maupin .
The authorized official title is Executive Director and has the following contact phone number (217) 422-6361.

The enumeration date for this NPI number is 2/19/2016 and was last updated on 2/19/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities201200009SILLINOISNo
2251C00000XDay Training, Developmentally Disabled Services201200009SILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========100MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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