# TEAM NURSE II, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Team Nurse
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093262487
- **Authorized official:** CHRISTY GLYNN (VP OF OPERATIONS)
- **Authorized official phone:** (434) 575-5200

## Contact information

- **Practice address:** 1372 W GRETNA RD STE B, GRETNA, VA 24557-2472
- **Practice address phone:** (434) 656-6000
- **Practice address fax:** (434) 656-1213
- **Mailing address:** PO BOX 776, 606 BROAD STREET, SOUTH BOSTON, VA 24592-0776
- **Mailing address phone:** (434) 575-5200
- **Mailing address fax:** (434) 575-5054

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/02/2016
- **Last updated:** 09/14/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 497757 | CCN/PTAN MEDICARE \# | VA |
| 01 | — | 49D2142019 | CLIA CLINICAL LABORATORY IMPROVEMENT ADMENMENTS CMS | VA |
| 01 | — | 65092 | ACHC | VA |
| 01 | — | HCO0205 | OLC VIRGINIA DEPT OF HEALTH | VA |