Provider Demographics
NPI:1417332735
Name:TRIPLE H CARE LLC.
Entity Type:Organization
Organization Name:TRIPLE H CARE LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BYRON
Authorized Official - Middle Name:DWAYNE
Authorized Official - Last Name:KNOX
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:334-722-0012
Mailing Address - Street 1:2019 HIDDEN VALLEY DR SW
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30008-7693
Mailing Address - Country:US
Mailing Address - Phone:334-722-0012
Mailing Address - Fax:
Practice Address - Street 1:200 BRUCE ST APT 44
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:AL
Practice Address - Zip Code:36081-3154
Practice Address - Country:US
Practice Address - Phone:334-722-0012
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-28
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care