Provider Demographics
NPI:1689049579
Name:TEAMCARE,LLC
Entity Type:Organization
Organization Name:TEAMCARE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:BREZEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-884-2273
Mailing Address - Street 1:1771 MADISON AVE STE 14
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-1251
Mailing Address - Country:US
Mailing Address - Phone:732-884-2273
Mailing Address - Fax:732-810-0261
Practice Address - Street 1:426 N LAKE DR
Practice Address - Street 2:SUITE 2B3
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-2569
Practice Address - Country:US
Practice Address - Phone:917-842-8373
Practice Address - Fax:732-364-2274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-03
Last Update Date:2018-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care