Provider Demographics
NPI:1013224393
Name:FIRST STEPS
Entity Type:Organization
Organization Name:FIRST STEPS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:EVERLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-626-2107
Mailing Address - Street 1:7967 HIGHWAY 351 E
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:KY
Mailing Address - Zip Code:42420-9441
Mailing Address - Country:US
Mailing Address - Phone:270-860-1500
Mailing Address - Fax:
Practice Address - Street 1:7967 HIGHWAY 351 E
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:KY
Practice Address - Zip Code:42420-9441
Practice Address - Country:US
Practice Address - Phone:270-860-1500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FIRST STEPS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-09-08
Last Update Date:2010-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY201127699251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health