Provider Demographics
NPI:1508408436
Name:1 STOP CARE AGENCY, INC
Entity Type:Organization
Organization Name:1 STOP CARE AGENCY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DOLDIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DOMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-946-7892
Mailing Address - Street 1:6617 KRISTIN CT
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32818-5951
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6617 KRISTIN CT
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32818-5951
Practice Address - Country:US
Practice Address - Phone:321-946-7892
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-11
Last Update Date:2019-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health