Provider Demographics
NPI:1528256336
Name:KIDS FIRST ENTERPRIZE
Entity type:Organization
Organization Name:KIDS FIRST ENTERPRIZE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:KENT
Authorized Official - Last Name:KEIL
Authorized Official - Suffix:
Authorized Official - Credentials:MSHS
Authorized Official - Phone:515-334-5025
Mailing Address - Street 1:4467 INDEPENDENCE DR
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:IA
Mailing Address - Zip Code:50327-1734
Mailing Address - Country:US
Mailing Address - Phone:515-334-5025
Mailing Address - Fax:
Practice Address - Street 1:4467 INDEPENDENCE DR
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:IA
Practice Address - Zip Code:50327-1734
Practice Address - Country:US
Practice Address - Phone:515-334-5025
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-05
Last Update Date:2010-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
No251S00000XAgenciesCommunity/Behavioral Health
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
No253Z00000XAgenciesIn Home Supportive Care