Organization
TEAM NURSE, INC.
Active
Other names
Team Nurse Danville, Care Advantage, Inc., Care Advantage
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY ROYSTER (SR ACCOUNTING MANAGER)
(804) 323-9464
Entity
Organization
Contact information
Practice address
508 PINEY FOREST RD, DANVILLE, VA 24540-3320
(434) 575-5200
(434) 575-5204
Mailing address
508 PINEY FOREST RD, DANVILLE, VA 24540-3320
(434) 575-5200
(434) 575-5204
Taxonomy
Speciality
Code
Description
License number
State
163WC2100X
Continence Care Registered Nurse
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
HCO-10148
VA
3747P1801X
Personal Care Attendant
Primary
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0087041213
—
VA
01
—
008751099
PRIVATE DUTY MEDICAID
VA
05
—
0087721772
—
VA
01
—
1205910981
PRIVATE DUTY
VA
01
—
HCO-09148
STATE LICENSURE
VA
01
—
ML-171464
COMMONWEALTH OF VA VDH
VA
Enumeration date
10/25/2006
Last updated
03/08/2023
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