NPIMap

Organization Active NPI

Team Nurse, Inc.

  • Personal Care Attendant
  • Roanoke, VA
National Provider Identifier
1780769471
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
4041 Melrose Ave NW
Roanoke, VA 24017-2635
Phone
(540) 344-1331
Fax
(540) 344-2113
NPI assigned
Oct 25, 2006
Last updated
Aug 15, 2019By the provider in NPPES
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
Mr. Steven D. MizeNPI 1538670013
Title
President
Phone
(434) 575-5200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Home Health Agency 251E00000X HCO-10317 VA
Personal Care Attendant 3747P1801X Primary
Respite Care 385H00000X
Continence Care Registered Nurse 163WC2100X

Addresses

Primary practice location

4041 Melrose Ave NW
Roanoke, VA 24017-2635

Mailing address

PO Box 776
South Boston, VA 24592-0776
Phone (434) 575-5200

Other identifiers 2

IdentifierTypeStateIssuer
1780769471OtherVAPRIVATE DUTY
HCO-317OtherVAVIRGINIA STATE LICENSE

Other names 1

  • Team Nurse Roanoke Other name

National Provider Directory

National Provider Directory
Tax ID family
Team Nurse Inc19 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

Locations

4041 Melrose Ave NW
Roanoke, VA 24017
Phone (540) 344-1331

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565827200000",
    "number": "1780769471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245920776",
            "telephone_number": "434-575-5200",
            "fax_number": "434-575-5204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 MELROSE AVE NW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240172635",
            "telephone_number": "540-344-1331",
            "fax_number": "540-344-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM NURSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2019-08-15",
        "status": "A",
        "authorized_official_last_name": "MIZE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-575-5200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO-10317",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_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
        },
        {
            "code": "163WC2100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continence Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE DUTY",
            "identifier": "1780769471",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA STATE LICENSE",
            "identifier": "HCO-317",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Team Nurse Roanoke",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Team Nurse Roanoke",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Roanoke, 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.