1548362619 NPI number — THE HOME CARE TEAM, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548362619 NPI number — THE HOME CARE TEAM, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE HOME CARE TEAM, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
MED TEAM, INC.
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1548362619
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/19/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
45 NE LOOP 410 STE 800
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN ANTONIO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78216-5837
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
210-227-9000
Provider Business Mailing Address Fax Number:
210-224-2020

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
302 SOUTH TEXAS AVENUE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MERCEDES
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78570
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-504-9000
Provider Business Practice Location Address Fax Number:
956-504-9040
Provider Enumeration Date:
09/01/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HARRIS
Authorized Official First Name:
ANGELIQUE
Authorized Official Middle Name:
Authorized Official Title or Position:
CORPORATE ACCOUNTS RECEIVABLE MGR.
Authorized Official Telephone Number:
210-227-9000

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  007958 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 007958 . This is a "HEALTH & HUMAN SERVICES COMMISSION" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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