Provider Demographics
NPI:1902197171
Name:TRICITY HOME CARE
Entity Type:Organization
Organization Name:TRICITY HOME CARE
Other - Org Name:BRIGHTSTAR OF PASADENA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SEVAK
Authorized Official - Middle Name:
Authorized Official - Last Name:SARKISSIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-660-0230
Mailing Address - Street 1:650 SIERRA MADRE VILLA AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-2013
Mailing Address - Country:US
Mailing Address - Phone:626-660-0230
Mailing Address - Fax:626-660-0235
Practice Address - Street 1:650 SIERRA MADRE VILLA AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-2013
Practice Address - Country:US
Practice Address - Phone:626-660-0230
Practice Address - Fax:626-660-0235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-22
Last Update Date:2011-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health