Provider Demographics
NPI:1760067631
Name:BABIESFIRSTLLC
Entity Type:Organization
Organization Name:BABIESFIRSTLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IRONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ELLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-252-8048
Mailing Address - Street 1:11512 N PORT WASHINGTON RD STE 101D
Mailing Address - Street 2:
Mailing Address - City:MEQUON
Mailing Address - State:WI
Mailing Address - Zip Code:53092-3456
Mailing Address - Country:US
Mailing Address - Phone:414-252-8048
Mailing Address - Fax:
Practice Address - Street 1:11512 N PORT WASHINGTON RD STE 101D
Practice Address - Street 2:
Practice Address - City:MEQUON
Practice Address - State:WI
Practice Address - Zip Code:53092-3456
Practice Address - Country:US
Practice Address - Phone:414-252-8048
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-12
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management