Healthcare Provider Details

I. General information

NPI: 1306017470
Provider Name (Legal Business Name): TEAM NURSE,INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2008
Last Update Date: 08/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1012 RESERVOIR ST SUITE A
HARRISONBURG VA
22801-4457
US

IV. Provider business mailing address

1012 RESERVOIR ST SUITE A
HARRISONBURG VA
22801-4457
US

V. Phone/Fax

Practice location:
  • Phone: 540-574-4321
  • Fax: 540-437-9983
Mailing address:
  • Phone: 540-437-9978
  • Fax: 540-574-9951

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHCO-10490
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code163WC2100X
TaxonomyContinence Care Registered Nurse
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. STEVEN D MIZE
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 434-575-5200