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TRI STARR HOME CARE LLC NPI 1508422775


NPI Information

NPI: 1508422775
Provider Name: TRI STARR HOME CARE LLC
Classification: Home Health - 251E00000X
Entity Type: Organization
Address:
1669 FLANIGAN DR.
UNIT H
SAN JOSE, CA
ZIP 95121
Phone: (408) 921-3936
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TRI STARR HOME CARE LLC is a home health in San Jose, CA. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. TRI STARR HOME CARE LLC NPI is 1508422775. The provider is registered as an organization entity type.

The provider's business location address is:

1669 FLANIGAN DR.
UNIT H
SAN JOSE, CA
ZIP 95121
Phone: (408) 921-3936
Fax: (408) 841-9695

The provider's authorized official is Sherill A Domingo .
The authorized official title is Owner and has the following contact phone number (408) 808-1392.

The enumeration date for this NPI number is 5/14/2019 and was last updated on 5/14/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251T00000XProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationNo
2311500000XAlzheimer Center (Dementia Center)No
3251E00000XHome HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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