Provider Demographics
NPI:1073884615
Name:MCNEAL-OBRIEN TEAM LLC
Entity Type:Organization
Organization Name:MCNEAL-OBRIEN TEAM LLC
Other - Org Name:MCNEAL-O'BRIEN TEAM HOME HEALTH SERVICES OF MICHIGAN
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:MCNEAL
Authorized Official - Suffix:
Authorized Official - Credentials:CLT (HEW)
Authorized Official - Phone:248-594-7722
Mailing Address - Street 1:25800 NORTHWESTERN HWY
Mailing Address - Street 2:SUITE 150
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-8403
Mailing Address - Country:US
Mailing Address - Phone:248-594-7722
Mailing Address - Fax:248-327-3089
Practice Address - Street 1:25800 NORTHWESTERN HWY
Practice Address - Street 2:SUITE 150
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-8403
Practice Address - Country:US
Practice Address - Phone:248-594-7722
Practice Address - Fax:248-327-3089
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MCNEAL-O'BRIEN TEAM LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-01-12
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC3320150246Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI246Q00000XMedicare PIN
MI374700000XMedicare PIN
MI246QM0706XMedicare PIN
MI3747A0650XMedicare PIN
MI251E00000XMedicare PIN
MI372H00000XMedicare PIN
MI376K00000XMedicare PIN
MI372600000XMedicare PIN
MI3747P1801XMedicare PIN
MI251X00000XMedicare PIN
MI261QH0100XMedicare PIN
MI253Z00000XMedicare PIN