Provider Demographics
NPI:1770203135
Name:1ST CARE HHS LLC
Entity type:Organization
Organization Name:1ST CARE HHS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDRE
Authorized Official - Middle Name:
Authorized Official - Last Name:GRANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-389-3021
Mailing Address - Street 1:124 NEW HOPE RD
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30214-1360
Mailing Address - Country:US
Mailing Address - Phone:404-389-3021
Mailing Address - Fax:404-549-8678
Practice Address - Street 1:124 NEW HOPE RD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214-1360
Practice Address - Country:US
Practice Address - Phone:404-389-3021
Practice Address - Fax:404-549-8678
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-29
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care