Provider Demographics
NPI:1669715025
Name:TRIPLE V HOME CARE AND ADULT SERVICES, INC.
Entity type:Organization
Organization Name:TRIPLE V HOME CARE AND ADULT SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:GREGORIA
Authorized Official - Middle Name:BELTRAN
Authorized Official - Last Name:VALIENTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-739-0946
Mailing Address - Street 1:1519 HAZELWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90041-3315
Mailing Address - Country:US
Mailing Address - Phone:323-712-8523
Mailing Address - Fax:
Practice Address - Street 1:1519 HAZELWOOD AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90041-3315
Practice Address - Country:US
Practice Address - Phone:323-712-8523
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-03
Last Update Date:2013-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care