Provider Demographics
NPI:1215230487
Name:TRI-CORD HEALTH, LLC
Entity Type:Organization
Organization Name:TRI-CORD HEALTH, LLC
Other - Org Name:NURSES-ON-THE-GO REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR/DON
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:SEAY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:361-633-7879
Mailing Address - Street 1:400 MANN ST
Mailing Address - Street 2:SUITE #702
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78401-2046
Mailing Address - Country:US
Mailing Address - Phone:361-561-6266
Mailing Address - Fax:361-561-6269
Practice Address - Street 1:400 MANN ST
Practice Address - Street 2:SUITE #702
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78401-2046
Practice Address - Country:US
Practice Address - Phone:361-561-6266
Practice Address - Fax:361-561-6269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-10
Last Update Date:2011-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX013891OtherHCSS AGENCY LICENSE NUMBER