Provider Demographics
NPI:1669962049
Name:TRIPLE JOY HOME HEALTH CARE INC
Entity type:Organization
Organization Name:TRIPLE JOY HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ADENIKI
Authorized Official - Middle Name:
Authorized Official - Last Name:OMOMO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-333-9987
Mailing Address - Street 1:903 JOLIET ST # 113
Mailing Address - Street 2:
Mailing Address - City:DYER
Mailing Address - State:IN
Mailing Address - Zip Code:46311-1922
Mailing Address - Country:US
Mailing Address - Phone:219-333-9987
Mailing Address - Fax:
Practice Address - Street 1:903 JOLIET ST # 113
Practice Address - Street 2:
Practice Address - City:DYER
Practice Address - State:IN
Practice Address - Zip Code:46311-1922
Practice Address - Country:US
Practice Address - Phone:219-333-9987
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-11
Last Update Date:2018-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health