Team Nurse Inc
Team Nurse - Altavista · Technician (Personal Care Attendant)

Address: 621 Broad St, Suite 1, Altavista, VA 24517-1829
Phone: 4343092647

Team Nurse Inc (NPI# 1942554357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1942554357
Entity Type Organization
Organization Name TEAM NURSE INC
Other Organization Name TEAM NURSE - ALTAVISTA
Practice Address 621 Broad St
Suite 1
Altavista
VA 24517-1829
Practice Telephone 4343092647
Practice Fax Number 4343092642
Mailing Address 621 Broad St
Suite 1
Altavista
VA 24517-1829
Mailing Telephone 4343092647
Mailing Fax Number 4343092642
Authorized Official Name Christy M Glynn (VICE PRESIDENT)
Authorized Official Telephone 4345755200
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2012-11-07
Last Update Date 2019-08-15

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 163WC2100X Registered Nurse · Continence Care Nursing Service Providers
No 251B00000X Case Management Agencies
No 251E00000X Home Health Agencies VA
Yes 3747P1801X Technician · Personal Care Attendant Nursing Service Related Providers
No 385H00000X Respite Care Respite Care Facility

Other Provider Identifier

State Identifier Issuer Type Code
VA HCO-928 OTHER HOME CARE ORGANIZATION LICENSURE
VA 1942554357 OTHER PERSONAL CARE, RESPITE CARE, HIGH TECHNOLOGY WAIVER

Other Provider/Organization Names

Other Name Type Code
Team Nurse - Altavista Doing Business As Name - Organization

Providers with the same name

NPI Name Taxonomy Address Enumeration
1205221488 Team Nurse Inc Registered Nurse 470 E Main St, Abingdon, VA 24210-3408 2015-04-03

Taxonomy Information

Taxonomy Code 3747P1801X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Personal Care Attendant

Taxonomy Definition

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]

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1629672332 Theresa Denise Fauntleroy Technician 2111 Bellevue Ave Apt 2, Norfolk, VA 23509-1861 2020-11-23
1659974392 Lucinda Clifton Technician 1291 Moore Rd, Raven, VA 24639-9049 2020-11-17
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1851991962 Brianna Hall Technician 273 Heather St, Falls Mills, VA 24613-9363 2020-10-28
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Office Location

Street Address 621 BROAD ST
SUITE 1
City ALTAVISTA
State VA
Zip Code 24517-1829

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538760798 Pwp Health, LLC Community/Behavioral Health 621 Broad St, Altavista, VA 24517-1855 2020-11-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427130756 Wal-mart Stores East, Lp Technician/Technologist 125 Clarion Road, Alta Vista, VA 24517 2006-10-19
1598719734 Altavista Life Saving and First Aid Crew, Incorporated Ambulance 1510 Main St, Altavista, VA 24517 2006-05-20
1154329779 Francis C. Carter Family Medicine 1280a Main Street, Altavista, VA 24517 2005-07-08
1275671240 Leslie Lindsay Aylor Speech-Language Pathologist 1317 Lola Ave, Altavista, VA 24517 2007-02-02
1245383397 Julian William Fields Iv Dentist 2180 Lynch Mill Rd, Altavista, VA 24517-1150 2007-01-20
1326440546 Julian Fields, Dds Ltd Dentist 2180 Lynch Mill Rd, Altavista, VA 24517-1150 2014-09-18
1861658726 Julian W. Fields D.d.s., Ltd. Clinic/Center 2180 Lynch Mill Rd, Altavista, VA 24517-1150 2008-07-31
1891105607 Horizon Behavioral Health Intermediate Care Facility, Mentally Retarded 101 Avoca Ln, Altavista, VA 24517-1154 2014-05-01
1700926029 Altavista Adult Day Care Center. Inc Clinic/Center 103 Avoca Ln, Altavista, VA 24517-1154 2007-02-07
1063430726 Wal-mart Stores East Lp Durable Medical Equipment & Medical Supplies 125 Clarion Rd, Altavista, VA 24517-1164 2006-07-18
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Competitor

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City ALTAVISTA
Zip Code 24517

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Dataset Information

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.