MEDICARE: A-TEAM CARE SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1487312443
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A-TEAM CARE SERVICES LLC

Provider Business Mailing Address
First Line	:	3247 ANTICA ST
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33905-1503
Country	:	US
Telephone Number	:	239-200-5459
Fax Number	:

Provider Business Practice Location Address
First Line	:	3247 ANTICA ST
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33905-1503
Country	:	US
Telephone Number	:	239-200-5459
Fax Number	:

Authorized Official
Title or Position	:	OWNER, MEMBER
Name	:	MR. ABDIAS CESAIRE
Credential	:
Telephone Number	:	239-200-5459

Provider Enumeration Date	:	12/07/2021
Last Update Date	:	12/07/2021

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