Provider Demographics
NPI:1689336521
Name:TRIPLE TTT LLC
Entity Type:Organization
Organization Name:TRIPLE TTT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ADEGBEMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-407-9065
Mailing Address - Street 1:3118 W DEVON AVE APT 1E
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60659-1458
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3550 W PETERSON AVE STE 300
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60659-3214
Practice Address - Country:US
Practice Address - Phone:773-407-9065
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRIPLETTT LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-10-07
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty
No251E00000XAgenciesHome HealthGroup - Single Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty