Provider Demographics
NPI:1376369637
Name:1STEPFORWARDHOMEHEALTHCARELLC
Entity type:Organization
Organization Name:1STEPFORWARDHOMEHEALTHCARELLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VANATEE
Authorized Official - Middle Name:N
Authorized Official - Last Name:AUSBROOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-499-7888
Mailing Address - Street 1:201 MILLER AVE
Mailing Address - Street 2:
Mailing Address - City:DUQUESNE
Mailing Address - State:PA
Mailing Address - Zip Code:15110-1431
Mailing Address - Country:US
Mailing Address - Phone:412-254-6008
Mailing Address - Fax:
Practice Address - Street 1:201 MILLER AVE
Practice Address - Street 2:
Practice Address - City:DUQUESNE
Practice Address - State:PA
Practice Address - Zip Code:15110-1431
Practice Address - Country:US
Practice Address - Phone:412-254-6008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-02
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care