Provider Demographics
NPI:1801138714
Name:THE HOME CARE TEAM, INC.
Entity type:Organization
Organization Name:THE HOME CARE TEAM, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CORPORATE ACCOUNTS RECEIVABLE MGR.
Authorized Official - Prefix:
Authorized Official - First Name:ANGELIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-227-9000
Mailing Address - Street 1:45 NE LOOP 410 STE 800
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-5837
Mailing Address - Country:US
Mailing Address - Phone:210-227-9000
Mailing Address - Fax:210-224-2020
Practice Address - Street 1:4 EAST STATE HIGHWAY 359
Practice Address - Street 2:
Practice Address - City:HEBBRONVILLE
Practice Address - State:TX
Practice Address - Zip Code:78361
Practice Address - Country:US
Practice Address - Phone:956-565-9228
Practice Address - Fax:956-565-9149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-19
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
TX0154213747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No251E00000XAgenciesHome HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX153114703Medicaid
TX015421OtherHOME AND COMMUNITY SUPPORT SERVICES AGENCY LICENSE