Provider Demographics
NPI:1912297235
Name:HEALTHTEAM, LLC
Entity Type:Organization
Organization Name:HEALTHTEAM, LLC
Other - Org Name:HEALTHTEAM HOME HEALTH & HEALTHTEAM PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:
Authorized Official - Last Name:BRADY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-715-8430
Mailing Address - Street 1:15950 DALLAS PKWY
Mailing Address - Street 2:SUITE #300
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248-6615
Mailing Address - Country:US
Mailing Address - Phone:972-715-8430
Mailing Address - Fax:972-715-8497
Practice Address - Street 1:15950 DALLAS PKWY
Practice Address - Street 2:SUITE #300
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75248-6615
Practice Address - Country:US
Practice Address - Phone:972-715-8430
Practice Address - Fax:972-715-8497
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-08
Last Update Date:2013-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX014246251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health