Provider Demographics
NPI:1689107229
Name:TEEMERCARE @ HOME LLC
Entity Type:Organization
Organization Name:TEEMERCARE @ HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BELINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:TEEMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-894-1121
Mailing Address - Street 1:1014 NETHERLAND LN
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31705-8019
Mailing Address - Country:US
Mailing Address - Phone:959-894-1121
Mailing Address - Fax:
Practice Address - Street 1:1129 DAWSON RD STE A
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31707
Practice Address - Country:US
Practice Address - Phone:229-449-1739
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-11
Last Update Date:2018-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health