Provider Demographics
NPI:1538493820
Name:TEAM HALL FIVE, INC.
Entity Type:Organization
Organization Name:TEAM HALL FIVE, INC.
Other - Org Name:SYNERGY HOMECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STACY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-371-4220
Mailing Address - Street 1:888 E THOUSAND OAKS BLVD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-6090
Mailing Address - Country:US
Mailing Address - Phone:805-371-4220
Mailing Address - Fax:805-371-7962
Practice Address - Street 1:888 E THOUSAND OAKS BLVD
Practice Address - Street 2:SUITE 203
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-6090
Practice Address - Country:US
Practice Address - Phone:805-371-4220
Practice Address - Fax:805-371-7962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-20
Last Update Date:2009-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care