TEAM NURSE INC. NPI 1174608889

NPI Information

NPI: 1174608889
Provider Name: TEAM NURSE, INC.

Doing Business As: CARE ADVANTAGE

Classification: Technician - 3747P1801X
Entity Type: Organization

Specialization: Personal Care Attendant

Address:
3352 HALIFAX RD
SOUTH BOSTON, VA
ZIP 24592
Phone: (434) 517-0050
Get Directions

TEAM NURSE, INC. is a personal care attendant technician in South Boston, VA. The provider is an individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards TEAM NURSE, INC. NPI is 1174608889. The provider is registered as an organization entity type.
The provider Is Doing Business As Care Advantage.

The provider's business location address is:

3352 HALIFAX RD
SOUTH BOSTON, VA
ZIP 24592-842
Phone: (434) 517-0050
Fax: (434) 517-0049

The provider's authorized official is Ashley Royster .
The authorized official title is Sr Accounting Manager and has the following contact phone number (804) 323-9464.

The enumeration date for this NPI number is 10/25/2006 and was last updated on 3/8/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	385H00000X	Respite Care				No
2	163WC2100X	Registered Nurse	Continence Care			No
3	251B00000X	Case Management				No
4	251E00000X	Home Health		HCO-0992	VIRGINIA	No
5	3747P1801X	Technician	Personal Care Attendant			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	008751129	OTHER	VIRGINIA	MEDICAID PRIVATE DUTY NURSING
2	008771685	MEDICAID	VIRGINIA
3	HCO-0992	OTHER	VIRGINIA	STATE LICENSURE
4	ML-171464	OTHER	VIRGINIA	COMMONWEALTH OF VIRGINIA VDH
5	008704031	MEDICAID	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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