Provider Demographics
NPI:1437382124
Name:1ST CAP SERVICES
Entity Type:Organization
Organization Name:1ST CAP SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELVIN
Authorized Official - Middle Name:CURTIS
Authorized Official - Last Name:MCSHAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-690-1847
Mailing Address - Street 1:36 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27565-3204
Mailing Address - Country:US
Mailing Address - Phone:919-690-1847
Mailing Address - Fax:919-603-1848
Practice Address - Street 1:36 CHURCH ST
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:NC
Practice Address - Zip Code:27565-3204
Practice Address - Country:US
Practice Address - Phone:919-690-1847
Practice Address - Fax:919-603-1848
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:1ST CHOICE HOME CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-08-27
Last Update Date:2009-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3449251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3418212Medicaid