Provider Demographics
NPI:1245404953
Name:ALEISA HORNE
Entity Type:Organization
Organization Name:ALEISA HORNE
Other - Org Name:ONE STEP AT A TIME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ALEISA
Authorized Official - Middle Name:JOANNE
Authorized Official - Last Name:HORNE
Authorized Official - Suffix:
Authorized Official - Credentials:BACHELOR OF ARTS
Authorized Official - Phone:816-761-5881
Mailing Address - Street 1:8304 E 91ST ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64138-4347
Mailing Address - Country:US
Mailing Address - Phone:816-761-5881
Mailing Address - Fax:816-767-0453
Practice Address - Street 1:8304 E 91ST ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64138-4347
Practice Address - Country:US
Practice Address - Phone:816-761-5881
Practice Address - Fax:816-767-0453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-15
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO856220504Medicaid