Provider Demographics
NPI:1669832119
Name:TEAM CARE PLUS
Entity Type:Organization
Organization Name:TEAM CARE PLUS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:ALDEGUER
Authorized Official - Last Name:DE LOS ANGELES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-690-3545
Mailing Address - Street 1:3160 SKY COUNTRY DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-6803
Mailing Address - Country:US
Mailing Address - Phone:775-690-3545
Mailing Address - Fax:775-327-4580
Practice Address - Street 1:3160 SKY COUNTRY DR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-6803
Practice Address - Country:US
Practice Address - Phone:775-690-3545
Practice Address - Fax:775-327-4580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-26
Last Update Date:2016-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care