Provider Demographics
NPI:1124217161
Name:TRI - COUNTY LIVING ASSISTANCE SERVICES, LLC
Entity Type:Organization
Organization Name:TRI - COUNTY LIVING ASSISTANCE SERVICES, LLC
Other - Org Name:COMFORCARE SENIOR SERVICES - NORTHERN CINCINNATI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GLENN
Authorized Official - Middle Name:
Authorized Official - Last Name:CAPRI
Authorized Official - Suffix:SR
Authorized Official - Credentials:CSA
Authorized Official - Phone:513-777-4860
Mailing Address - Street 1:7419 KINGSGATE WAY
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-2486
Mailing Address - Country:US
Mailing Address - Phone:513-777-4860
Mailing Address - Fax:513-777-4865
Practice Address - Street 1:7419 KINGSGATE WAY
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-6517
Practice Address - Country:US
Practice Address - Phone:513-777-4860
Practice Address - Fax:513-777-4865
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-16
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health