Provider Demographics
NPI:1558661710
Name:TRI-CARE HOME HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:TRI-CARE HOME HEALTH SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:C
Authorized Official - Last Name:BRIONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-581-1359
Mailing Address - Street 1:851 BURLWAY RD STE 216
Mailing Address - Street 2:
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-1709
Mailing Address - Country:US
Mailing Address - Phone:650-581-1359
Mailing Address - Fax:818-779-1559
Practice Address - Street 1:1612 W OLIVE AVE STE 303
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91506-2463
Practice Address - Country:US
Practice Address - Phone:818-779-0654
Practice Address - Fax:818-779-1559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-21
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550001582251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health