Provider Demographics
NPI:1992296362
Name:HOME TEAM HOME CARE LLC
Entity type:Organization
Organization Name:HOME TEAM HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:S
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-453-0448
Mailing Address - Street 1:3023 MONTROSE AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23222-2509
Mailing Address - Country:US
Mailing Address - Phone:804-243-8753
Mailing Address - Fax:804-597-2028
Practice Address - Street 1:14405 JUSTICE RD
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23113-6901
Practice Address - Country:US
Practice Address - Phone:804-453-0448
Practice Address - Fax:804-597-2028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-22
Last Update Date:2018-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health