Organization Active NPI

The Medical Team, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Metairie, LA
National Provider Identifier
1700924768
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
69 Issued in LA
Legal business name
THE MEDICAL TEAM, INC.
Practice address
3445 N Causeway Blvd Ste 904
Metairie, LA 70002-3767
Phone
(985) 872-6666
Fax
(985) 872-3263
NPI assigned
Feb 2, 2007
Organization subpart
Yes
Parent organization
THE MEDICAL TEAM, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Authorized official

Name
Mrs. Amy Champagne, BSN, RN
Title
Dco
Phone
(985) 872-6666

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 69 LA
Durable Medical Equipment & Medical Supplies 332B00000X 69 LA Primary

Addresses

Primary practice location

3445 N Causeway Blvd Ste 904
Metairie, LA 70002-3767

Mailing address

4722 Highway 311
Houma, LA 70360-2865
Phone (985) 872-6666

Other practice location 1

4722 Highway 311
Houma, LA 70360-2865
Phone (985) 872-6666

Other identifiers 1

IdentifierTypeStateIssuer
1403121MedicaidLA

Other names 1

  • The Medical Team Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100125000138 LA Part A Provider - Home Health Agency 9638089972 Practice locations: Houma, LA; Metairie, LA

Home health agency certification: CCN 197312

Legal name
THE MEDICAL TEAM, INC.
Doing business as
THE MEDICAL TEAM INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 22, 1980
Last certification
May 3, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
May 22, 1978 in VA
Enrollment address
4722 Hwy 311
Houma, LA 70360-2865
HHA Branch

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
The Medical Team IncCCN 197312
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
May 22, 1980
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D0671569Medical Team Inc, the4722 Hwy 311, Houma, LA 70360Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
The Medical Team Inc23 organizations share this tax ID, including this one
Part of
The Medical Team Inc

Other organizations with this tax ID 22

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

View all 22

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Nicolas Tzirimis Individual Corporate DirectorVice President May 22, 1980
Leslie Pembrook Individual 5% Or Greater Direct Ownership InterestPresident May 22, 1980 100%
Corporate DirectorPresident May 22, 1980 100%
Jennifer Stiltner Individual W-2 Managing EmployeeCorp.Director, Home Healt Hospice Apr 15, 2024 20%
Andrea Papa Individual W-2 Managing EmployeeAd; Mar 6, 2025 20%
Ryan Grisard Individual W-2 Managing EmployeeChief Financial Officer May 1, 2015
Amy Champagne Individual W-2 Managing Employee Dec 14, 2009

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Medical Team, Inc.Flint, MI, CCN 231631 Hospice Operational/Managerial Control (100%) Apr 17, 2014
The Medical Team, Inc.Grand Rapids, MI, CCN 231656 Hospice Operational/Managerial Control (100%) Jun 2, 1983
The Medical Team, Inc.Reston, VA, CCN 491623 Hospice Operational/Managerial Control (100%) Jun 2, 1983
The Medical Team, Inc.San Antonio, TX, CCN 741714 Hospice Operational/Managerial Control Jun 2, 1983

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1700924768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4722 HIGHWAY 311",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703602865",
            "telephone_number": "985-872-6666",
            "fax_number": "985-872-3263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 N CAUSEWAY BLVD STE 904",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700023767",
            "telephone_number": "985-872-6666",
            "fax_number": "985-872-3263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4722 Highway 311",
            "address_purpose": "LOCATION",
            "city": "Houma",
            "state": "LA",
            "postal_code": "703602865",
            "country_code": "US",
            "telephone_number": "985-872-6666",
            "fax_number": "985-872-3263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE MEDICAL TEAM, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE MEDICAL TEAM, INC.",
        "enumeration_date": "2007-02-02",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "CHAMPAGNE",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "DCO",
        "authorized_official_telephone_number": "985-872-6666",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "69",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": "69",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1403121",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medical Team",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.