Provider Demographics
NPI:1619392537
Name:HOMETEAM CDS LLC
Entity Type:Organization
Organization Name:HOMETEAM CDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:YOSEF
Authorized Official - Middle Name:
Authorized Official - Last Name:MANNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-993-4663
Mailing Address - Street 1:301 SOVEREIGN CT STE 209
Mailing Address - Street 2:
Mailing Address - City:BALLWIN
Mailing Address - State:MO
Mailing Address - Zip Code:63011-4435
Mailing Address - Country:US
Mailing Address - Phone:314-993-4663
Mailing Address - Fax:
Practice Address - Street 1:301 SOVEREIGN CT STE 209
Practice Address - Street 2:
Practice Address - City:BALLWIN
Practice Address - State:MO
Practice Address - Zip Code:63011-4435
Practice Address - Country:US
Practice Address - Phone:314-993-4663
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-28
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health