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TRI COUNTY HOME CARE LLC NPI 1639555402


NPI Information

NPI: 1639555402
Provider Name: TRI COUNTY HOME CARE LLC

Doing Business As: BRIGHTSTAR CARE OF WAYNE

Classification: Home Health - 251E00000X
Entity Type: Organization

CLIA Number: 31D2100663

Address:
601 HAMBURG TPKE
SUITE 207
WAYNE, NJ
ZIP 07470
Phone: (973) 321-0010
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TRI COUNTY HOME CARE LLC is a home health in Wayne, NJ. 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 COUNTY HOME CARE LLC NPI is 1639555402. The provider is registered as an organization entity type.
The provider Is Doing Business As Brightstar Care Of Wayne.

The provider's business location address is:

601 HAMBURG TPKE
SUITE 207
WAYNE, NJ
ZIP 07470-048
Phone: (973) 321-0010
Fax: (973) 956-7000

The provider's authorized official is Suzanne Miller .
The authorized official title is Owner and has the following contact phone number (973) 321-0010.

The CLIA number assigned to this NPI record is 31D2100663 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/4/2015 and was last updated on 8/4/2015.


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
1251E00000XHome HealthHP0208100NEW JERSEYYes

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: 11/14/2023

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