Healthcare Provider Details

I. General information

NPI: 1104060359
Provider Name (Legal Business Name): TEAM HOME HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2009
Last Update Date: 04/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2505 N 24TH ST 223
OMAHA NE
68110-2252
US

IV. Provider business mailing address

2505 N 24TH ST 223
OMAHA NE
68110-2252
US

V. Phone/Fax

Practice location:
  • Phone: 402-451-5549
  • Fax:
Mailing address:
  • Phone: 402-451-5549
  • Fax: 402-451-2876

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNE

VIII. Authorized Official

Name: MISS GAYLA D CHAMBERS
Title or Position: PRESIDENT/CEO
Credential:
Phone: 402-451-5549