Provider Demographics
NPI:1295356905
Name:TOP FLIGHT REGISTRY INC
Entity Type:Organization
Organization Name:TOP FLIGHT REGISTRY INC
Other - Org Name:TFR-HOME HEALTH AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:BARASA
Authorized Official - Last Name:WALUBENGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-715-1337
Mailing Address - Street 1:4208 N FREEWAY BLVD STE 7A
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834-1241
Mailing Address - Country:US
Mailing Address - Phone:916-670-5967
Mailing Address - Fax:916-473-5824
Practice Address - Street 1:4208 N FREEWAY BLVD STE 7A
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95834-1241
Practice Address - Country:US
Practice Address - Phone:916-670-5967
Practice Address - Fax:916-473-5824
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-04
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health