Provider Demographics
NPI:1992302194
Name:HOME CARE COVERAGE TEAM PLLC
Entity type:Organization
Organization Name:HOME CARE COVERAGE TEAM PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:337-661-4307
Mailing Address - Street 1:8200 LIBERTY GROVE RD STE 102
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75089-2322
Mailing Address - Country:US
Mailing Address - Phone:337-661-4307
Mailing Address - Fax:972-521-4657
Practice Address - Street 1:8200 LIBERTY GROVE RD STE 102
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75089-2322
Practice Address - Country:US
Practice Address - Phone:337-661-4307
Practice Address - Fax:972-521-4657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-01
Last Update Date:2020-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1235499856Medicaid
TX1811495062Medicaid