Teamcare Home Health Services, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

008353 Issued in TX

Legal business name

TEAMCARE HOME HEALTH SERVICES, INC

Practice address

2626 S Loop W
562
Houston, TX 77054-2654

Phone

(713) 838-1105

Fax

(713) 838-8686

NPI assigned

May 12, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Ibim B Bobmanuel

Title

Administrator

Phone

(713) 838-1105

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• na Former legal business name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 679126

Legal name

TEAMCARE HOME HEALTH SERVICES, INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 16, 2002

Last certification

Mar 26, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jun 17, 2002 in TX

Enrollment address

2626 S Loop W
Ste 650Y
Houston, TX 77054-5628

Listed as

Teamcare Home Health Services IncCCN 679126

Ownership

Proprietary

Certified

Apr 16, 2002

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227139200000",
    "number": "1629029855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 771102",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772151102",
            "telephone_number": "713-838-1105",
            "fax_number": "713-838-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 S LOOP W",
            "address_2": "562",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542654",
            "telephone_number": "713-838-1105",
            "fax_number": "713-838-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAMCARE HOME HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2008-11-20",
        "status": "A",
        "authorized_official_last_name": "BOBMANUEL",
        "authorized_official_first_name": "IBIM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-838-1105",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "008353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151968801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "na",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Teahouse Therapy PLLC
• Jade Michelle Teakell, M.D., PH.D.
• Martha McNeil Teal, LPC-ASSOCIATE
• Team Home and Community Based Services LLC
• Team O & P, Inc.
• Eronica A Teapo, LVN
• Teas Star Family Practice Clinic
• Ashley Elizabeth Teasdale, PSYD
• David Wayne Teasdale, D.D.S.
• Catheryn Kunthea Teav, DO

• Home Health Agency in Houston, TX
• Providers in Houston, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.