Provider Demographics
NPI:1902150907
Name:TEAM A IN-HOME CARE LLC
Entity Type:Organization
Organization Name:TEAM A IN-HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:K
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-352-3282
Mailing Address - Street 1:83 S STEWART ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:SONORA
Mailing Address - State:CA
Mailing Address - Zip Code:95370
Mailing Address - Country:US
Mailing Address - Phone:209-352-3282
Mailing Address - Fax:
Practice Address - Street 1:83 S STEWART ST
Practice Address - Street 2:SUITE 202
Practice Address - City:SONORA
Practice Address - State:CA
Practice Address - Zip Code:95370-4726
Practice Address - Country:US
Practice Address - Phone:209-352-3282
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-30
Last Update Date:2012-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care