Provider Demographics
NPI:1508301896
Name:TRCA SERVICES LLC
Entity Type:Organization
Organization Name:TRCA SERVICES LLC
Other - Org Name:HOMEWELL SENIOR CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:REESE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-599-4333
Mailing Address - Street 1:77 MARK DR STE 33
Mailing Address - Street 2:
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94903-2268
Mailing Address - Country:US
Mailing Address - Phone:415-599-4333
Mailing Address - Fax:800-266-1834
Practice Address - Street 1:77 MARK DR STE 33
Practice Address - Street 2:
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94903-2268
Practice Address - Country:US
Practice Address - Phone:415-599-4333
Practice Address - Fax:800-266-1834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-22
Last Update Date:2016-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA214700009253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care