=====================================================
General NPI Number Information
=====================================================
NPI Number | 1154657724
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | STEPS AHEAD, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/02/2009
-----------------------------------------------------
Last Update Date | 08/13/2018
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 500 LIMESTONE TRCE
-----------------------------------------------------
City | VERSAILLES
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 40383
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 859-509-1618
-----------------------------------------------------
Fax | 859-878-1000
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 302
-----------------------------------------------------
City | VERSAILLES
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 40383-0302
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 859-509-1618
-----------------------------------------------------
Fax | 859-878-1000
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EXECUTIVE DIRECTOR
-----------------------------------------------------
Name | MS. JILL K. BROWN
-----------------------------------------------------
Credential | SCL-IDP
-----------------------------------------------------
Telephone | 859-509-1618
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171M00000X
-----------------------------------------------------
Taxonomy Name | Case Manager/Care Coordinator
-----------------------------------------------------
License Number | 7100307450
-----------------------------------------------------
License Number State | KY
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 251B00000X
-----------------------------------------------------
Taxonomy Name | Case Management Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------