Provider Demographics
NPI:1639592264
Name:TRIO HOME HEALTH CARE OF SAN DIEGO, INC.
Entity type:Organization
Organization Name:TRIO HOME HEALTH CARE OF SAN DIEGO, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:MARCIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-419-9986
Mailing Address - Street 1:1991 VILLAGE PARK WAY
Mailing Address - Street 2:SUITE 2L
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-1994
Mailing Address - Country:US
Mailing Address - Phone:760-632-8746
Mailing Address - Fax:760-753-8746
Practice Address - Street 1:1991 VILLAGE PARK WAY
Practice Address - Street 2:SUITE 2L
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-1994
Practice Address - Country:US
Practice Address - Phone:760-632-8746
Practice Address - Fax:760-753-8746
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-03
Last Update Date:2014-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health