NPIMap

Organization Active NPI

Team Nurse, Inc.

  • Personal Care Attendant
  • Brookneal, VA
National Provider Identifier
1497935753
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
TEAM NURSE, INC.
Practice address
330 Main Street
Brookneal, VA 24528
Phone
(434) 376-8240
Fax
(434) 376-8260
NPI assigned
Nov 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Authorized official

Name
Ms. Christy M. Glynn
Title
Vice President
Phone
(434) 575-5200

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Continence Care Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WC2100X
Case Management Agency 251B00000X
Home Health Agency 251E00000X HCO-10449 VA
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X Primary
Respite Care 385H00000X

Addresses

Primary practice location

330 Main Street
Brookneal, VA 24528

Mailing address

PO Box 15
330 Main Street
Brookneal, VA 24528-0015
Phone (434) 376-8240

Other identifiers 4

IdentifierTypeStateIssuer
0152717952MedicaidVA
1497935753OtherVAPRIVATE DUTY MEDICAID
0152716988MedicaidVA
HCO-09449OtherVASTATE LICENSURE

National Provider Directory

National Provider Directory
Tax ID family
Privacare19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565827200000",
    "number": "1497935753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15",
            "address_2": "330 MAIN STREET",
            "city": "BROOKNEAL",
            "state": "VA",
            "postal_code": "245280015",
            "telephone_number": "434-376-8240",
            "fax_number": "434-376-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 MAIN STREET",
            "city": "BROOKNEAL",
            "state": "VA",
            "postal_code": "24528",
            "telephone_number": "434-376-8240",
            "fax_number": "434-376-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM NURSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2019-08-15",
        "status": "A",
        "authorized_official_last_name": "GLYNN",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "434-575-5200",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "163WC2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Continence Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO-10449",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0152717952",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE DUTY MEDICAID",
            "identifier": "1497935753",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0152716988",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSURE",
            "identifier": "HCO-09449",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookneal, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.