Provider Demographics
NPI:1184618498
Name:TRI-COUNTY HOME HEALTH, INC.
Entity type:Organization
Organization Name:TRI-COUNTY HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:CUNNINGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:409-385-6032
Mailing Address - Street 1:809 HIGHWAY 327 E
Mailing Address - Street 2:POBOX 375
Mailing Address - City:SILSBEE
Mailing Address - State:TX
Mailing Address - Zip Code:77656-5023
Mailing Address - Country:US
Mailing Address - Phone:409-385-6032
Mailing Address - Fax:409-385-6267
Practice Address - Street 1:809 HIGHWAY 327 E
Practice Address - Street 2:
Practice Address - City:SILSBEE
Practice Address - State:TX
Practice Address - Zip Code:77656-0375
Practice Address - Country:US
Practice Address - Phone:409-385-6032
Practice Address - Fax:409-385-6267
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-01
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX001361251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679571Medicare Oscar/Certification