Provider Demographics
NPI:1235564154
Name:TEAM HOME CARE, INC.
Entity Type:Organization
Organization Name:TEAM HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROZANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:AVETYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:424-644-4747
Mailing Address - Street 1:1015 N LAKE AVE
Mailing Address - Street 2:SUITE 107
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91104-4573
Mailing Address - Country:US
Mailing Address - Phone:424-644-4747
Mailing Address - Fax:
Practice Address - Street 1:1015 N LAKE AVE
Practice Address - Street 2:SUITE 107
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91104-4573
Practice Address - Country:US
Practice Address - Phone:424-644-4747
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-10
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health