NPIMap

Organization Active NPI

Team Nurse Inc

Doing business as Team Nurse - Altavista

  • Personal Care Attendant
  • Altavista, VA
National Provider Identifier
1942554357
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
Doing business as
Team Nurse - Altavista
Practice address
621 Broad St
Suite 1
Altavista, VA 24517-1829
Phone
(434) 309-2647
Fax
(434) 309-2642
NPI assigned
Nov 7, 2012
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
Christy M Glynn
Title
Vice President
Phone
(434) 575-5200

Specialties & licenses 5

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

Addresses

Primary practice location

621 Broad St
Suite 1
Altavista, VA 24517-1829

Mailing address

621 Broad St
Suite 1
Altavista, VA 24517-1829
Phone (434) 309-2647

Other identifiers 2

IdentifierTypeStateIssuer
1942554357OtherVAPERSONAL CARE, RESPITE CARE, HIGH TECHNOLOGY WAIVER
HCO-928OtherVAHOME CARE ORGANIZATION LICENSURE

Other names 1

  • Team Nurse - Altavista Doing business as

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

621 Broad St
Ste 1
Altavista, VA 24517
Phone (434) 309-2647

NPI Registry JSON

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565827200000",
    "number": "1942554357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 BROAD ST",
            "address_2": "SUITE 1",
            "city": "ALTAVISTA",
            "state": "VA",
            "postal_code": "245171829",
            "telephone_number": "434-309-2647",
            "fax_number": "434-309-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 BROAD ST",
            "address_2": "SUITE 1",
            "city": "ALTAVISTA",
            "state": "VA",
            "postal_code": "245171829",
            "telephone_number": "434-309-2647",
            "fax_number": "434-309-2642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM NURSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-07",
        "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"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": null,
            "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": "PERSONAL CARE, RESPITE CARE, HIGH TECHNOLOGY WAIVER",
            "identifier": "1942554357",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME CARE ORGANIZATION LICENSURE",
            "identifier": "HCO-928",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Team Nurse - Altavista",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Team Nurse - Altavista",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Altavista, 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.