Provider Demographics
NPI:1083838734
Name:TRIPLE RC HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:TRIPLE RC HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CONCEPCION
Authorized Official - Middle Name:I
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-255-3525
Mailing Address - Street 1:22777 LYONS AVE
Mailing Address - Street 2:SUITE 219
Mailing Address - City:NEWHALL
Mailing Address - State:CA
Mailing Address - Zip Code:91321-2849
Mailing Address - Country:US
Mailing Address - Phone:661-255-3525
Mailing Address - Fax:661-255-5423
Practice Address - Street 1:22777 LYONS AVE
Practice Address - Street 2:SUITE 219
Practice Address - City:NEWHALL
Practice Address - State:CA
Practice Address - Zip Code:91321-2849
Practice Address - Country:US
Practice Address - Phone:661-255-3525
Practice Address - Fax:661-255-5423
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA058007Medicare ID - Type UnspecifiedHOME HEALTH SERVICES