CUSTOM CARE TEAM, INC. (NPI# 1851478309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851478309 |
Entity Type | Organization |
Organization Name | CUSTOM CARE TEAM, INC. |
Other Organization Name | THE MEDICAL TEAM PERSONAL CARE SERVICES |
Practice Address |
1806 W Stassney Ln Ste 102 Austin TX 78745-3645 |
Mailing Address |
45 Ne Loop 410 Ste 800 San Antonio TX 78216-5837 |
Practice Telephone | 5129859058 |
Practice Fax Number | 5129859343 |
Mailing Telephone | 2102279000 |
Mailing Fax Number | 2102242020 |
Enumeration Date | 2006-11-01 |
Last Update Date | 2019-02-21 |
Authorized Official Name | MR. ANGIE HARRIS (CORP AR MANAGER) |
Authorized Official Telephone | 2102279000 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3747P1801X |
Technician Specialization: Personal Care Attendant |
007838 | TX | Nursing Service Related Providers |
Y | 251E00000X | Home Health | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | STATE LICENSE | 007838 | 01 |
TX | COMMUNITY CARE CONTRACT NUMBER | 001027364 | 01 |
TX | 389094901 | 05 |
Other Name | Type Code |
---|---|
THE MEDICAL TEAM Personal Care Services | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285163303 | Custom Care Team, Inc. | Clinic/Center | 1902 Campus Comons Drive, Suite 650, Reston, VA 20191-1589 | 2017-06-12 |
1972910933 | Custom Care Team, Inc. | Specialist | 1915 Baldwin Ave, Pontiac, MI 48340-1173 | 2014-07-22 |
Street Address |
1806 W STASSNEY LN STE 102 |
City | AUSTIN |
State | TX |
Zip Code | 78745-3645 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023617511 | Samantha Lynne Weston | Speech-Language Pathologist | 8515 Brodie Lane, Apt 2011, Austin, TX 78745 | 2020-10-26 |
1275172686 | Nithphaphone Tracy Bounsing | Registered Nurse | 4316 James Casey St, Building F, Suite 201, Austin, TX 78745 | 2020-01-02 |
1225685712 | Integrative Medical Group of Texas | General Practice | 6905 West Gate Blvd. Ste A, Austin, TX 78745 | 2019-08-20 |
1962971499 | Kimberly Angela Mancini | Social Worker | 5015 South Ih 35 Frontage Road, Austin, TX 78745 | 2018-11-14 |
1093223885 | Emma Rose Marek | Speech-Language Pathologist | 2700 Norfolk Drive, Austin, TX 78745 | 2018-01-16 |
1528586690 | Ashley Ellison | Social Worker | 4201 South Congress, Austin, TX 78745 | 2017-09-08 |
1134666761 | Carey Sebera | Counselor | 2812 Goldbridge Dr, Austin, TX 78745 | 2017-01-20 |
1932644507 | Maya Conlon | Social Worker | 2501 W. William Cannon Dr., Bldg 6 Ste. A, Austin, TX 78745 | 2017-01-05 |
1285189134 | 512 Physical Therapy and Golf Performance Center | Physical Therapist | 6800 Westgate Blvd, Suite 117, Austin, TX 78745 | 2016-08-22 |
1326401803 | Chris Winkley | Physical Therapist | 5510 S Ih 35 Frontage Rd #240, Austin, TX 78745 | 2016-04-01 |
Find all providers in zip 78745 |
Taxonomy Code | 251E00000X |
Grouping | Agencies |
Classification | Home Health |
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093316499 | Gold Standard Therapy, Pllc | Home Health | 102 Salinas Cv, Austin, TX 78738-1781 | 2020-11-03 |
1891301644 | Team Select Home Care of Texas, LLC | Home Health | 709 W 34th St Ste C, Austin, TX 78705-1238 | 2020-09-17 |
1598387763 | Faith and Care Services | Home Health | 7608 Cayenne Ln, Austin, TX 78741-7531 | 2020-05-11 |
1083243679 | La Stupenda | Home Health | 12403 Mellow Meadow Dr Apt 8108, Austin, TX 78750-1957 | 2020-04-06 |
1407403488 | Joyous Home Healthcare Services, LLC | Home Health | 11113 Furrow Hill Dr, Austin, TX 78754-6115 | 2019-08-23 |
1598318529 | Hightingale Homecare Services Inc | Home Health | 12608 Esplanade St, Austin, TX 78727-4411 | 2019-07-18 |
1649835737 | Joy In Home Senior Care | Home Health | 300 Ferguson Dr Ste 302, Austin, TX 78753-3030 | 2019-05-05 |
1356807861 | Austin Home Health Supplies LLC | Home Health | 8906 Wall St Ste 702, Austin, TX 78754-4546 | 2019-02-20 |
1528549334 | Elder Support, LLC | Home Health | 15317 Falconhead Grove Loop, Austin, TX 78738-6883 | 2018-08-29 |
1154818706 | First Divine Home Healthcare Agency Inc. | Home Health | 7901 Cameron Rd Ste 302, Austin, TX 78754-3831 | 2018-04-19 |
Find all providers in AUSTIN |
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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.