Provider Demographics
NPI:1588174767
Name:PEOPLE FIRST HEALTH SERVICES LLC
Entity type:Organization
Organization Name:PEOPLE FIRST HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KIRK
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:KINZIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-673-8604
Mailing Address - Street 1:3 E ORCHARD AVE
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:OH
Mailing Address - Zip Code:45036-2334
Mailing Address - Country:US
Mailing Address - Phone:513-673-8604
Mailing Address - Fax:513-228-1376
Practice Address - Street 1:3 E ORCHARD AVE
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:OH
Practice Address - Zip Code:45036-2334
Practice Address - Country:US
Practice Address - Phone:513-673-8604
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-02
Last Update Date:2017-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH374U00000X
374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2985702Medicaid