Provider Demographics
NPI:1073028106
Name:THE HOME CARE TEAM, INC
Entity Type:Organization
Organization Name:THE HOME CARE TEAM, INC
Other - Org Name:THE MEDICAL TEAM PERSONAL CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GRISARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-390-2300
Mailing Address - Street 1:17197 N LAUREL PARK DR STE 555
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-2686
Mailing Address - Country:US
Mailing Address - Phone:734-779-9700
Mailing Address - Fax:734-779-9799
Practice Address - Street 1:17197 N LAUREL PARK DR STE 555
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152
Practice Address - Country:US
Practice Address - Phone:734-779-9700
Practice Address - Fax:734-779-9799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-12
Last Update Date:2018-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health