Careteam Plus, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

CARETEAM PLUS, INC.

Practice address

100 Professional Park Dr
Conway, SC 29526-9260

Phone

(843) 234-0005

NPI assigned

Jan 13, 2025

Organization subpart

No

Name

Johanna L Haynes, CEO

Title

Ceo

Phone

(843) 234-8220

Organizations that report the same tax identification number in the National Provider Directory.

• Careteam Plus, Inc.

  • Federally Qualified Health Center (FQHC)
  • Conway, SC
  • NPI 1013727940
  NPD tax ID
• Careteam Plus, Inc.

  • Specialty Pharmacy
  • Conway, SC
  • NPI 1033738133
  NPD tax ID
• Careteam Plus, Inc.

  • Federally Qualified Health Center (FQHC)
  • Conway, SC
  • NPI 1194541383
  NPD tax ID
• Careteam Plus, Inc.

  • Federally Qualified Health Center (FQHC)
  • Conway, SC
  • NPI 1427363209
  NPD tax ID
• Careteam Plus, Inc.

  • Federally Qualified Health Center (FQHC)
  • Pawleys Island, SC
  • NPI 1902673130
  NPD tax ID

Tax ID family

Careteam Plus Inc (6 organizations share this tax ID)

Locations

• Careteam Plus-Mobile Unit #1 Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 13, 2025.

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1104636034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PROFESSIONAL PARK DR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269260",
            "telephone_number": "843-234-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PROFESSIONAL PARK DR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269260",
            "telephone_number": "843-234-0005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "239 Business Center Dr",
            "address_purpose": "LOCATION",
            "city": "Pawleys Island",
            "state": "SC",
            "postal_code": "295856522",
            "country_code": "US",
            "telephone_number": "843-234-0005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "132 Professional Park Dr",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "SC",
            "postal_code": "295269260",
            "country_code": "US",
            "telephone_number": "843-234-0005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARETEAM PLUS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "JOHANNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "843-234-8220",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Careteam Plus-Mobile Unit #1",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• All providers in Conway, SC
• Federally Qualified Health Center (FQHC) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.