Healthcare Provider Details

I. General information

NPI: 1205910981
Provider Name (Legal Business Name): TEAM NURSE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 EXCHANGE ST STE C
DANVILLE VA
24541-3500
US

IV. Provider business mailing address

1051 E CARY ST STE 910
RICHMOND VA
23219-0019
US

V. Phone/Fax

Practice location:
  • Phone: 434-799-1959
  • Fax: 434-799-1957
Mailing address:
  • Phone: 804-323-9464
  • Fax: 804-330-3156

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC2100X
TaxonomyContinence Care Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHCO-10148
License Number StateVA
# 4
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY ROYSTER
Title or Position: DIRECTOR
Credential:
Phone: 804-323-9464