Provider Demographics
NPI:1750377230
Name:TRI-COUNTY HOME HEALTH CARE
Entity type:Organization
Organization Name:TRI-COUNTY HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:S
Authorized Official - Last Name:SKINNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-381-9247
Mailing Address - Street 1:506 N MONTGOMERY AVE
Mailing Address - Street 2:100 TOWN PLAZA
Mailing Address - City:SHEFFIELD
Mailing Address - State:AL
Mailing Address - Zip Code:35660-2832
Mailing Address - Country:US
Mailing Address - Phone:256-381-9247
Mailing Address - Fax:256-386-0830
Practice Address - Street 1:506 N MONTGOMERY AVE
Practice Address - Street 2:100 TOWN PLAZA
Practice Address - City:SHEFFIELD
Practice Address - State:AL
Practice Address - Zip Code:35660-2832
Practice Address - Country:US
Practice Address - Phone:256-381-9247
Practice Address - Fax:256-386-0830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1054251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51507673OtherBCBSAL PAM HILL
AL51521124OtherBCBSAL
AL51096690OtherBCBSAL SAM STRIBLING
AL51046912OtherSPEECH BCBS
AL51520034OtherBCBSAL KB
AL51096690OtherBCBSAL SAM STRIBLING