TEAM NURSE, INC. (NPI# 1497935753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497935753 |
| Entity Type | Organization |
| Organization Name | TEAM NURSE, INC. |
| Practice Address |
330 Main Street Brookneal VA 24528 |
| Mailing Address |
Po Box 15 330 Main Street Brookneal VA 24528-0015 |
| Practice Telephone | 4343768240 |
| Practice Fax Number | 4343768260 |
| Mailing Telephone | 4343768240 |
| Mailing Fax Number | 4343768260 |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2019-08-15 |
| Authorized Official Name | MS. CHRISTY M. GLYNN (VICE PRESIDENT) |
| Authorized Official Telephone | 4345755200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| N | 251E00000X | Home Health | HCO-10449 | VA | Agencies |
| N | 163WC2100X |
Registered Nurse Specialization: Continence Care |
Nursing Service Providers | ||
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | STATE LICENSURE | HCO-09449 | 01 |
| VA | 0152717952 | 05 | |
| VA | PRIVATE DUTY MEDICAID | 1497935753 | 01 |
| VA | 0152716988 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902070774 | Team Nurse, Inc. | Registered Nurse | 1555 Commerce Rd, Suite C, Verona, VA 24482-9702 | 2008-04-14 |
| 1316133739 | Team Nurse, Inc. | Registered Nurse | 4007 S Amherst Hwy, Madison Heights, VA 24572-5947 | 2007-09-19 |
| 1255419164 | Team Nurse, Inc. | Registered Nurse | 1372 W Gretna Rd, Suite B, Gretna, VA 24557-2472 | 2006-11-01 |
| 1972688638 | Team Nurse, Inc. | Registered Nurse | 1087 Spruce St, Martinsville, VA 24112-4506 | 2006-10-25 |
| 1174608889 | Team Nurse, Inc. | Registered Nurse | 3352 Halifax Rd, South Boston, VA 24592-4842 | 2006-10-25 |
| 1568547289 | Team Nurse, Inc. | Registered Nurse | 412 E Atlantic St, South Hill, VA 23970-2702 | 2006-10-25 |
| 1669556387 | Team Nurse, Inc. | Registered Nurse | 22634 Timberlake Rd, Suite E, Lynchburg, VA 24502-7311 | 2006-10-25 |
| 1780769471 | Team Nurse, Inc. | Home Health | 4041 Melrose Ave Nw, Roanoke, VA 24017-2635 | 2006-10-25 |
| 1205910981 | Team Nurse, Inc. | Registered Nurse | 508 Piney Forest Rd, Danville, VA 24540-3320 | 2006-10-25 |
| 1376017756 | Team Nurse, Inc. | Registered Nurse | 16610 Russell Street, Suite 5, St Paul, VA 24283 | 2019-01-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporation | Team Nurse, Inc. | , , |
| Virginia Business Entity | Team Nurse, Inc. | 606 BROAD STREET SUITE F PO BOX 776, SOUTH BOSTON, VA 24592 |
| Street Address |
330 MAIN STREET |
| City | BROOKNEAL |
| State | VA |
| Zip Code | 24528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982166047 | Dustin Keller Enterprises LLC | Durable Medical Equipment & Medical Supplies | 1547 Red Bottom Rd, Brookneal, VA 24528 | 2019-04-05 |
| 1467570168 | Johnson Health Center | Clinic/Center | 104 Carolina Avenue, Brookneal, VA 24528 | 2007-03-27 |
| 1174626816 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 240-b Lusardi Drive, Brookneal, VA 24528 | 2006-09-07 |
| 1366413908 | Richard Lee Fisher Sr. | Dentist | 215 A Main Street, Brookneal, VA 24528 | 2006-01-31 |
| 1336150887 | William L Drake Jr. | Dentist | 258 Main St, Brookneal, VA 24528 | 2006-08-10 |
| 1831224302 | Brookneal Drug Co Inc | Durable Medical Equipment & Medical Supplies | 120 Rush Street, Pharmacy, Brookneal, VA 24528-0066 | 2007-02-23 |
| 1285667469 | Brookneal Optical, Inc | Technician/Technologist | 207 E. Rush Street, Brookneal, VA 24528-0100 | 2006-07-09 |
| 1295725455 | Brookneal Life Care Corp | Skilled Nursing Facility | 633 Cook Ave, Brookneal, VA 24528-1470 | 2005-10-27 |
| 1861499493 | Donald E. Carwile | Family Medicine | 104 Carolina Ave, Brookneal, VA 24528-2643 | 2005-06-28 |
| 1609397462 | Kimberly Diane Altizer | Nurse Practitioner | 104 Carolina Ave, Brookneal, VA 24528-2643 | 2017-07-03 |
| Find all providers in zip 24528 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| 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 |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841251 | Katie Lynn Owen | Technician | 131 Magnolia Ln, Bluefield, VA 24605-1347 | 2020-11-06 |
| 1093316432 | Hope and Harmony Home Care LLC | Technician | 16909 Takeaway Ln, Dumfries, VA 22026-3028 | 2020-11-03 |
| 1851991962 | Brianna Hall | Technician | 273 Heather St, Falls Mills, VA 24613-9363 | 2020-10-28 |
| 1184238701 | Carlton B Herrera | Technician | 3509 Ethel James Dr, Chesapeake, VA 23323-1249 | 2020-09-01 |
| 1750993994 | John Irving Collins | Technician | 180 Angles Hollow Rd, North Tazewell, VA 24630-8065 | 2020-08-19 |
| 1982216446 | Maria A Martinez Ferrufino | Technician | 5100 8th Rd S Apt 210, Arlington, VA 22204-2834 | 2020-08-17 |
| 1295346765 | Deahua Denise Lavender | Technician | 231 Chalmers Ct, Berryville, VA 22611-1358 | 2020-08-10 |
| 1255940680 | Angela Mizell | Technician | 618 Battery Ave, Suffolk, VA 23434-5914 | 2020-07-31 |
| 1801414198 | Jph Enterprise, LLC Dba Preferred Care At Home of Virginia Beach | Technician | 1520 Stonemoss Ct Ste 101, Virginia Beach, VA 23462-5731 | 2020-07-13 |
| 1487280004 | Tarikawe Ashenafi Daniel | Technician | 4600 Duke St Apt 1525, Alexandria, VA 22304-2513 | 2020-03-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.