Organization · NPI-2

Home Team Supported Case Management

Case Management · Longmont, CO

NPI number1245039197
StatusActive
Last updated in NPPESMar 12, 2025

Details

NPI
1245039197
Entity type
Organization (NPI-2)
Legal business name
Home Team Supported Case Management
Organization subpart
No
Enumeration date
Mar 12, 2025
Certification date
Mar 12, 2025
Last updated
Mar 12, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251B00000X Case Management––Yes

Practice location

473 Main St
Longmont, CO 80501-5505

Phone 303-681-7722

Mailing address

763 Sandpoint Dr
Longmont, CO 80504-2300

Phone 303-681-7722

Authorized official

Lynette G Mcclain
Board President
3036817722

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