Provider Demographics
| NPI: | 1174208565 |
|---|---|
| Name: | 1ST PRIORITY AFH |
| Entity type: | Organization |
| Organization Name: | 1ST PRIORITY AFH |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | PRESIDENT |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | VICTORIA |
| Authorized Official - Middle Name: | MICHELLE |
| Authorized Official - Last Name: | STERBA |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 262-752-3620 |
| Mailing Address - Street 1: | 2523 CHARLES ST |
| Mailing Address - Street 2: | |
| Mailing Address - City: | RACINE |
| Mailing Address - State: | WI |
| Mailing Address - Zip Code: | 53402-4311 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 262-752-3620 |
| Mailing Address - Fax: | 207-987-7091 |
| Practice Address - Street 1: | 2523 CHARLES ST |
| Practice Address - Street 2: | |
| Practice Address - City: | RACINE |
| Practice Address - State: | WI |
| Practice Address - Zip Code: | 53402-4311 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 262-752-3620 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2023-06-21 |
| Last Update Date: | 2023-06-21 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 310400000X | Nursing & Custodial Care Facilities | Assisted Living Facility | |
| No | 251B00000X | Agencies | Case Management | |
| No | 251E00000X | Agencies | Home Health | |
| No | 251G00000X | Agencies | Hospice Care, Community Based | |
| No | 251T00000X | Agencies | Program of All-Inclusive Care for the Elderly (PACE) Provider Organization | |
| No | 253Z00000X | Agencies | In Home Supportive Care | |
| No | 261QA0005X | Ambulatory Health Care Facilities | Clinic/Center | Ambulatory Family Planning Facility |
| No | 261QA0600X | Ambulatory Health Care Facilities | Clinic/Center | Adult Day Care |
| No | 3104A0630X | Nursing & Custodial Care Facilities | Assisted Living Facility | Assisted Living, Behavioral Disturbances |
| No | 3104A0625X | Nursing & Custodial Care Facilities | Assisted Living Facility | Assisted Living, Mental Illness |
| No | 320700000X | Residential Treatment Facilities | Residential Treatment Facility, Physical Disabilities | |
| No | 320800000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Mental Illness | |
| No | 342000000X | Transportation Services | Transportation Network Company | |
| No | 343900000X | Transportation Services | Non-emergency Medical Transport (VAN) | |
| No | 385H00000X | Respite Care Facility | Respite Care |