Organization
TEAM NURSE, INC.
Active
Other names
Care Advantage, Team Nurse South Boston, Care Advantage, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY ROYSTER (DIRECTOR)
(804) 323-9464
Entity
Organization
Contact information
Practice address
3166 HALIFAX RD, SOUTH BOSTON, VA 24592-4906
(434) 517-0050
(434) 517-0049
Mailing address
1051 E CARY ST STE 910, RICHMOND, VA 23219-0019
(804) 323-9464
(804) 330-3156
Taxonomy
Speciality
Code
Description
License number
State
163WC2100X
Continence Care Registered Nurse
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
HCO-0992
VA
3747P1801X
Personal Care Attendant
Primary
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008704031
—
VA
01
—
008751129
MEDICAID PRIVATE DUTY NURSING
VA
05
—
008771685
—
VA
01
—
HCO-0992
STATE LICENSURE
VA
01
—
ML-171464
COMMONWEALTH OF VIRGINIA VDH
VA
Enumeration date
10/25/2006
Last updated
06/30/2026
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