Provider Demographics
NPI:1669133930
Name:CAROLINA 1ST CARE, INC
Entity type:Organization
Organization Name:CAROLINA 1ST CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-891-7023
Mailing Address - Street 1:8524 FOX CHASE LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-0905
Mailing Address - Country:US
Mailing Address - Phone:704-891-7023
Mailing Address - Fax:
Practice Address - Street 1:8524 FOX CHASE LN
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28269-0905
Practice Address - Country:US
Practice Address - Phone:704-891-7023
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-07
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No177F00000XOther Service ProvidersLodging
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)