Provider Demographics
NPI:1619177094
Name:TRI COUNTY HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:TRI COUNTY HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:FANNON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-750-1155
Mailing Address - Street 1:5150 YOUNGSTOWN POLAND RD
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44514-1265
Mailing Address - Country:US
Mailing Address - Phone:330-750-1155
Mailing Address - Fax:330-750-1175
Practice Address - Street 1:5150 YOUNGSTOWN POLAND RD
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44514-1265
Practice Address - Country:US
Practice Address - Phone:330-750-1155
Practice Address - Fax:330-750-1175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-23
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health