Team Stat Medical Supplies LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

TEAM STAT MEDICAL SUPPLIES LLC

Practice address

565 Chesapeake LN
Southlake, TX 76092-8107

Phone

(214) 906-8489

Fax

(817) 431-3580

NPI assigned

Jun 28, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Kurt Raymond Hippchen

Title

Owner

Phone

(214) 906-8489

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309219200000",
    "number": "1376839381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 CHESAPEAKE LN",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760928107",
            "telephone_number": "214-906-8489",
            "fax_number": "817-431-3580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 CHESAPEAKE LN",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760928107",
            "telephone_number": "214-906-8489",
            "fax_number": "817-431-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM STAT MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-28",
        "last_updated": "2011-06-28",
        "status": "A",
        "authorized_official_last_name": "HIPPCHEN",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-906-8489",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Lynn Taylor D'Aquin, MA, LPC, LCDC
• Gregory David Taylor, M.D., D.D.S
• Nicole Taylor, NP
• TCSD Clinic LLC
• Team Stat Home Health LLC
• Teresa Tebrinke, LPC
• Teleconnect, Inc
• Emily Terpstra, M.S., SLP
• Terrell Dialysis Center, LLC
• Terri Suresh Acnp PLLC

• In Home Supportive Care Agency in Southlake, TX
• Providers in Southlake, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; 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.