Provider Demographics
NPI:1801555966
Name:TRIPLE J HOME HEALTHCARE INC
Entity type:Organization
Organization Name:TRIPLE J HOME HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ONYEBUCHI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:972-341-7215
Mailing Address - Street 1:826 CROCKETT DR
Mailing Address - Street 2:
Mailing Address - City:LAVON
Mailing Address - State:TX
Mailing Address - Zip Code:75166-1731
Mailing Address - Country:US
Mailing Address - Phone:972-341-7215
Mailing Address - Fax:
Practice Address - Street 1:826 CROCKETT DR
Practice Address - Street 2:
Practice Address - City:LAVON
Practice Address - State:TX
Practice Address - Zip Code:75166-1731
Practice Address - Country:US
Practice Address - Phone:972-341-7215
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-15
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty