Healthcare Provider Details

I. General information

NPI: 1679207757
Provider Name (Legal Business Name): CARETEAM HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2022
Last Update Date: 12/06/2024
Certification Date: 12/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 PLEASANT ST
NEW BRITAIN CT
06051-2828
US

IV. Provider business mailing address

230 PLEASANT ST
NEW BRITAIN CT
06051-2828
US

V. Phone/Fax

Practice location:
  • Phone: 860-483-8836
  • Fax: 505-207-8847
Mailing address:
  • Phone: 860-483-8836
  • Fax: 505-207-8847

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: NIGEL RODNEY
Title or Position: OWNER
Credential: APRN
Phone: 860-483-8836