Provider Demographics
NPI:1497302756
Name:TRAVEL GROUP CAREGIVERS LLC
Entity Type:Organization
Organization Name:TRAVEL GROUP CAREGIVERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVY
Authorized Official - Middle Name:CHAN
Authorized Official - Last Name:SAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-753-9534
Mailing Address - Street 1:5637 N PERSHING AVE STE C11E
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95207-4944
Mailing Address - Country:US
Mailing Address - Phone:916-753-9535
Mailing Address - Fax:
Practice Address - Street 1:5637 N PERSHING AVE STE C11E
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95207-4944
Practice Address - Country:US
Practice Address - Phone:916-753-9535
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-21
Last Update Date:2019-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health