TEAM NURSE, INC (NPI# 1033295092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033295092 |
| Entity Type | Organization |
| Organization Name | TEAM NURSE, INC |
| Other Organization Name | TEAM NURSE STUART |
| Practice Address |
126 N. Main Street Stuart VA 24171 |
| Mailing Address |
Po Box 776 South Boston VA 24592-0776 |
| Practice Telephone | 2766944406 |
| Practice Fax Number | 2766944727 |
| Mailing Telephone | 4345755200 |
| Mailing Fax Number | 4345755204 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2019-08-15 |
| Authorized Official Name | MR. STEVEN D. MIZE (PRESIDENT) |
| Authorized Official Telephone | 4345755200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC2100X |
Registered Nurse Specialization: Continence Care |
Nursing Service Providers | ||
| N | 251B00000X | Case Management | Agencies | ||
| N | 251E00000X | Home Health | HCO-10289 | VA | Agencies |
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | PRIVATE DUTY | 1033295092 | 01 |
| VA | VA STATE LICENSE | 289 | 01 |
| Other Name | Type Code |
|---|---|
| Team Nurse Stuart | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619053667 | Team Nurse, Inc | Case Management | 265 Franklin St, Rocky Mount, VA 24151-1330 | 2006-10-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporation | Team Nurse, Inc. | , , |
| Virginia Business Entity | Team Nurse, Inc. | 606 BROAD STREET SUITE F PO BOX 776, SOUTH BOSTON, VA 24592 |
| Street Address |
126 N. MAIN STREET |
| City | STUART |
| State | VA |
| Zip Code | 24171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730678921 | Family Preservatrion Services, Inc. | Community/Behavioral Health | 101 E. Blue Ridge Street, Stuart, VA 24171 | 2018-05-03 |
| 1366931776 | Shannon Smith Cockram | Speech-Language Pathologist | 104 Rucker St., Stuart, VA 24171 | 2018-05-02 |
| 1194177006 | Family Preservation Services, Inc | Community/Behavioral Health | 260 Spring Road, Stuart, VA 24171 | 2016-07-05 |
| 1396128948 | Rebecca Hawks | Physical Therapy Assistant | 817 Woodland Drive, Stuart, VA 24171 | 2015-07-01 |
| 1790168524 | Jim Best Jr. | Speech-Language Pathologist | 817 Woodland Dr., Stuart, VA 24171 | 2015-06-29 |
| 1205115524 | Thomas Ira Debusk IIi | Pharmacist | 140 South Main St., Rite Aid Pharmacy, Stuart, VA 24171 | 2011-08-04 |
| 1801191317 | Nmg Affiliate Practice I LLC | Internal Medicine | 110 East Blue Ridge Street, Stuart, VA 24171 | 2011-01-13 |
| 1174765408 | First Quality Nursing LLC | Home Health | 105 Landmark Drive, Stuart, VA 24171 | 2009-04-01 |
| 1033356449 | Anthony's Builders | Private Vehicle | 16128 Jeb Stuart Hwy, Stuart, VA 24171 | 2009-01-08 |
| 1902900202 | Pch Operations, LLC Dba R.j. Reynolds-patrick County Memorial Hospital | General Acute Care Hospital | 18688 Jeb Stuart Highway, Stuart, VA 24171 | 2006-09-08 |
| Find all providers in zip 24171 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790252740 | Rakesha Elease Harris | Technician | 4764 Se Grouper Ave, Stuart, FL 34997-8839 | 2018-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841251 | Katie Lynn Owen | Technician | 131 Magnolia Ln, Bluefield, VA 24605-1347 | 2020-11-06 |
| 1093316432 | Hope and Harmony Home Care LLC | Technician | 16909 Takeaway Ln, Dumfries, VA 22026-3028 | 2020-11-03 |
| 1851991962 | Brianna Hall | Technician | 273 Heather St, Falls Mills, VA 24613-9363 | 2020-10-28 |
| 1184238701 | Carlton B Herrera | Technician | 3509 Ethel James Dr, Chesapeake, VA 23323-1249 | 2020-09-01 |
| 1750993994 | John Irving Collins | Technician | 180 Angles Hollow Rd, North Tazewell, VA 24630-8065 | 2020-08-19 |
| 1982216446 | Maria A Martinez Ferrufino | Technician | 5100 8th Rd S Apt 210, Arlington, VA 22204-2834 | 2020-08-17 |
| 1295346765 | Deahua Denise Lavender | Technician | 231 Chalmers Ct, Berryville, VA 22611-1358 | 2020-08-10 |
| 1255940680 | Angela Mizell | Technician | 618 Battery Ave, Suffolk, VA 23434-5914 | 2020-07-31 |
| 1801414198 | Jph Enterprise, LLC Dba Preferred Care At Home of Virginia Beach | Technician | 1520 Stonemoss Ct Ste 101, Virginia Beach, VA 23462-5731 | 2020-07-13 |
| 1487280004 | Tarikawe Ashenafi Daniel | Technician | 4600 Duke St Apt 1525, Alexandria, VA 22304-2513 | 2020-03-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on TEAM NURSE, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.