Provider Demographics
NPI:1457856577
Name:1ST CARE UNITED
Entity Type:Organization
Organization Name:1ST CARE UNITED
Other - Org Name:1ST CARE UNITED
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DARSHENA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRYANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:833-824-4663
Mailing Address - Street 1:580 FIELDCREST DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:GA
Mailing Address - Zip Code:30132-2111
Mailing Address - Country:US
Mailing Address - Phone:833-824-4663
Mailing Address - Fax:833-824-4663
Practice Address - Street 1:11000 W MCNICHOLS RD STE 100
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48221-2357
Practice Address - Country:US
Practice Address - Phone:833-824-4663
Practice Address - Fax:833-824-4663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-29
Last Update Date:2018-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health