Organization
CUSTOM CARE TEAM, INC.
Active
Other names
THE MEDICAL TEAM Personal Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANGIE HARRIS (CORP AR MANAGER)
(210) 227-9000
Entity
Organization
Contact information
Practice address
1806 W STASSNEY LN STE 102, AUSTIN, TX 78745-3645
(512) 985-9058
(512) 985-9343
Mailing address
45 NE LOOP 410 STE 800, SAN ANTONIO, TX 78216-5837
(210) 227-9000
(210) 224-2020
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
3747P1801X
Personal Care Attendant
007838
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001027364
COMMUNITY CARE CONTRACT NUMBER
TX
01
—
007838
STATE LICENSE
TX
05
—
389094901
—
TX
Enumeration date
11/01/2006
Last updated
11/17/2025
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