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General NPI Number Information
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NPI Number | 1972161511
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Entity Type | Organization
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Legal Business Name | TRISTAR HOME HEALTH CARE,INC.
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Dates
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Enumeration Date | 05/30/2019
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 8363 RESEDA BLVD STE 203B
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City | NORTHRIDGE
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State | CA
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Zip | 91324-4673
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Country | US
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Telephone | 818-823-3475
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Fax | 818-818-5334
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Provider Business Mailing Address
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Address Line | 8363 RESEDA BLVD STE 203B
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City | NORTHRIDGE
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State | CA
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Zip | 91324-4673
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Country | US
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Telephone | 818-823-3475
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Fax | 818-818-5334
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MR. FLORDAN DELA ROSA ENRIQUEZ
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Credential |
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Telephone | 818-818-5333
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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 |
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License Number State |
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