Provider Demographics
NPI:1326899014
Name:TRI-CORE HOME CARE, LLC
Entity Type:Organization
Organization Name:TRI-CORE HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ESTRELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:SARABOSING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-761-9656
Mailing Address - Street 1:4118 W FIG TREE LN
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93722-8211
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:516 VILLA AVE STE 14
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93612-7604
Practice Address - Country:US
Practice Address - Phone:559-761-9656
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-29
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care