Provider Demographics
NPI:1912243320
Name:TRI-STAR NURSING SERVICES AND EQUIPMENT, LLC
Entity Type:Organization
Organization Name:TRI-STAR NURSING SERVICES AND EQUIPMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:B
Authorized Official - Last Name:UZOMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-459-0533
Mailing Address - Street 1:9400 BUENA VISTA AVE
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3006
Mailing Address - Country:US
Mailing Address - Phone:301-459-0533
Mailing Address - Fax:301-459-0633
Practice Address - Street 1:9400 BUENA VISTA AVE
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-3006
Practice Address - Country:US
Practice Address - Phone:301-459-0533
Practice Address - Fax:301-459-0633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-13
Last Update Date:2012-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR3144332B00000X
MD332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies