Provider Demographics
NPI:1346485588
Name:TEAM CARE LLC
Entity Type:Organization
Organization Name:TEAM CARE LLC
Other - Org Name:HOME INSTEAD SENIOR CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER / MGR
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:AUSTIN
Authorized Official - Last Name:FROST
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:478-275-8176
Mailing Address - Street 1:212 W JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:GA
Mailing Address - Zip Code:31021-6100
Mailing Address - Country:US
Mailing Address - Phone:478-275-8176
Mailing Address - Fax:478-275-8178
Practice Address - Street 1:212 W JACKSON ST
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:GA
Practice Address - Zip Code:31021-6100
Practice Address - Country:US
Practice Address - Phone:478-275-8176
Practice Address - Fax:478-275-8178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-02
Last Update Date:2008-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA087-R-0007251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health