Provider Demographics
NPI:1043525942
Name:FIRST STEP HOME CARE SERVICE INC
Entity type:Organization
Organization Name:FIRST STEP HOME CARE SERVICE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JIMMY
Authorized Official - Middle Name:CARL
Authorized Official - Last Name:ROLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-217-6572
Mailing Address - Street 1:PO BOX 1396
Mailing Address - Street 2:
Mailing Address - City:ROBERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27871-1396
Mailing Address - Country:US
Mailing Address - Phone:252-217-6572
Mailing Address - Fax:252-795-7113
Practice Address - Street 1:107 ACADEMY STREET
Practice Address - Street 2:
Practice Address - City:ROBERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:27871-1396
Practice Address - Country:US
Practice Address - Phone:252-217-6572
Practice Address - Fax:252-795-7113
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FIRST STEP HOME CARE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-08-16
Last Update Date:2010-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC4126251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health