1801138714 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 1801138714 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:
Provider Other Organization Name Type Code:
6
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:
1801138714
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/15/2022
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:
4 EAST STATE HIGHWAY 359
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HEBBRONVILLE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78361
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-565-9228
Provider Business Practice Location Address Fax Number:
956-565-9149
Provider Enumeration Date:
03/19/2013

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 ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3747P1801X , with the licence number: 015421 , 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: 153114703 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 015421 . This is a "HOME AND COMMUNITY SUPPORT SERVICES AGENCY LICENSE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com