Provider Demographics
NPI:1578201166
Name:HOME BASED TEAM LLC
Entity Type:Organization
Organization Name:HOME BASED TEAM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:TROIANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-825-8319
Mailing Address - Street 1:3224 MANTILLA DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40513-1158
Mailing Address - Country:US
Mailing Address - Phone:859-825-8319
Mailing Address - Fax:949-695-3662
Practice Address - Street 1:2257 EXECUTIVE DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40505-4809
Practice Address - Country:US
Practice Address - Phone:859-346-4283
Practice Address - Fax:949-695-3662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-24
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies