Healthcare Provider Details

I. General information

NPI: 1295156024
Provider Name (Legal Business Name): FIRST STEP DEVELOPMENT GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2013
Last Update Date: 03/20/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 NE 5TH AVE STE D-304
DELRAY BEACH FL
33483-5661
US

IV. Provider business mailing address

455 NE 5TH AVE STE D-304
DELRAY BEACH FL
33483-5661
US

V. Phone/Fax

Practice location:
  • Phone: 800-372-0072
  • Fax: 888-704-2232
Mailing address:
  • Phone: 800-372-0027
  • Fax: 888-704-2232

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code146D00000X
TaxonomyPersonal Emergency Response Attendant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code333300000X
TaxonomyEmergency Response System Companies
License Number
License Number State

VIII. Authorized Official

Name: ELIZA SALERNO
Title or Position: COO
Credential:
Phone: 800-372-0072