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General NPI Number Information
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NPI Number | 1558661710
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Entity Type | Organization
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Legal Business Name | TRI-CARE HOME HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 10/21/2010
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 1612 W OLIVE AVE STE 303
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City | BURBANK
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State | CA
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Zip | 91506-2463
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Country | US
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Telephone | 818-779-0654
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Fax | 818-779-1559
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Provider Business Mailing Address
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Address Line | 851 BURLWAY RD STE 216
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City | BURLINGAME
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State | CA
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Zip | 94010-1709
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Country | US
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Telephone | 650-581-1359
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Fax | 818-779-1559
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | YVONNE C BRIONES
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Credential |
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Telephone | 650-581-1359
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 550001582
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License Number State | CA
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