A Team Healthcare Services

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

85573 Issued in SC

Legal business name

A TEAM HEALTHCARE SERVICES

Practice address

3935 Sunset Blvd
Ste. G.
West Columbia, SC 29169-2403

Phone

(803) 796-9612

Fax

(803) 796-9615

NPI assigned

Jan 3, 2013

Last updated

Jan 3, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Urshula Cannon

Title

Owner

Phone

(803) 361-5249

Specialties & licenses 4

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1357171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357171200000",
    "number": "1225375793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50232",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292500232",
            "telephone_number": "803-361-5249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3935 SUNSET BLVD",
            "address_2": "STE. G.",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291692403",
            "telephone_number": "803-796-9612",
            "fax_number": "803-796-9615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A TEAM HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-03",
        "last_updated": "2013-01-03",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "URSHULA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-361-5249",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "SC",
            "license": "85573",
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "SC",
            "license": "85573",
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "SC",
            "license": "85573",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SC",
            "license": "85573",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Case Management Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; 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.