Provider Demographics
NPI:1891332664
Name:HOME TEAM RESOURCES LLC
Entity Type:Organization
Organization Name:HOME TEAM RESOURCES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:240-215-7631
Mailing Address - Street 1:11209 PROSPECT HILL RD
Mailing Address - Street 2:
Mailing Address - City:GLENN DALE
Mailing Address - State:MD
Mailing Address - Zip Code:20769-9429
Mailing Address - Country:US
Mailing Address - Phone:240-215-7631
Mailing Address - Fax:
Practice Address - Street 1:1101 HAMILTON ST # 255
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18101-1043
Practice Address - Country:US
Practice Address - Phone:717-461-3010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-29
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty