Provider Demographics
NPI:1235341413
Name:TRI-ACECARE HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:TRI-ACECARE HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:C
Authorized Official - Last Name:ISIDRO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:281-999-1943
Mailing Address - Street 1:2506A NANTUCKET DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-4802
Mailing Address - Country:US
Mailing Address - Phone:281-999-1943
Mailing Address - Fax:
Practice Address - Street 1:2506A NANTUCKET DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-4802
Practice Address - Country:US
Practice Address - Phone:281-999-1943
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX459050Medicare ID - Type Unspecified