Organization
TEAM SELECT HOME CARE OF INDIANA, LLC
Active
Other names
Team Select Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE LOVELL (VICE PRESIDENT)
(806) 185-7604
Entity
Organization
Contact information
Practice address
413 N WASHINGTON ST STE 1, KOKOMO, IN 46901-4503
(765) 201-4314
(765) 205-5044
Mailing address
2999 N 44TH ST STE 100, PHOENIX, AZ 85018-7247
(480) 618-5760
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
06-005843-1
IN
251J00000X
Nursing Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300058717
—
IN
05
—
300059114
—
IN
05
—
300092397
—
IN
05
—
300092890
—
IN
Enumeration date
12/13/2006
Last updated
03/26/2025
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