Provider Demographics
NPI:1922157403
Name:FIRST STEP, INC.
Entity Type:Organization
Organization Name:FIRST STEP, INC.
Other - Org Name:PARK PLACE 1 GROUP HOME, PARK PLACE 2 GROUP HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PAM
Authorized Official - Middle Name:
Authorized Official - Last Name:BLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-624-6468
Mailing Address - Street 1:PO BOX 2440
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71914-2440
Mailing Address - Country:US
Mailing Address - Phone:501-624-6468
Mailing Address - Fax:501-624-1075
Practice Address - Street 1:407 CARSON STREET
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71901
Practice Address - Country:US
Practice Address - Phone:501-624-6468
Practice Address - Fax:501-624-1075
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FIRST STEP, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-10
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR102478724251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR116135742Medicaid
AR131986720Medicaid
AR136347772Medicaid
AR121127732Medicaid
AR129698774Medicaid
AR102478724Medicaid
AR125880767Medicaid
AR130552782Medicaid
AR118207715Medicaid
AR132516786Medicaid
AR145873778Medicaid