Provider Demographics
NPI:1437217916
Name:KIDS FIRST LLC
Entity Type:Organization
Organization Name:KIDS FIRST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROCH
Authorized Official - Middle Name:M
Authorized Official - Last Name:SPALKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-331-1527
Mailing Address - Street 1:1091 CABOOSE CT
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89434-5812
Mailing Address - Country:US
Mailing Address - Phone:775-331-1527
Mailing Address - Fax:
Practice Address - Street 1:1091 CABOOSE CT
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89434-5812
Practice Address - Country:US
Practice Address - Phone:775-331-1527
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100509249Medicaid
NV100509250Medicaid
NV100509248Medicaid