Provider Demographics
NPI:1477219509
Name:CARE TEAM STRUCTURED FAMILY CAREGIVING, LLC
Entity Type:Organization
Organization Name:CARE TEAM STRUCTURED FAMILY CAREGIVING, LLC
Other - Org Name:THE CARE TEAM, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:CATHALEEN
Authorized Official - Last Name:STEPHENS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:317-752-7821
Mailing Address - Street 1:6433 E WASHINGTON ST STE 154
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46219-6627
Mailing Address - Country:US
Mailing Address - Phone:317-742-9300
Mailing Address - Fax:317-742-9393
Practice Address - Street 1:6433 E WASHINGTON ST STE 154
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46219-6627
Practice Address - Country:US
Practice Address - Phone:317-742-9300
Practice Address - Fax:317-742-9393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-12
Last Update Date:2023-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN300075451Medicaid