Triple Agi Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

010392 Issued in TX

Legal business name

TRIPLE AGI INC

Practice address

1106 N Hwy 360 Suite 410
Grand Prairie, TX 75050-2594

Phone

(972) 522-5758

Fax

(972) 522-5922

NPI assigned

Jun 2, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Bernadine Adanna Udeozoh

Title

RN, Don/Administrator

Phone

(972) 522-5758

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 679743

Legal name

TRIPLE AGI INC

Doing business as

TRIPLE AGI HOME HEALTH

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 27, 2008

Last certification

Dec 17, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Dec 2, 2005 in TX

Enrollment address

1106 N Hwy 360
Ste 410
Grand Prairie, TX 75050-2594

Listed as

Triple Agi Home HealthCCN 679743

Ownership

Proprietary

Certified

Feb 27, 2008

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240185600000",
    "number": "1033157045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 N HWY 360 STE 410",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750502594",
            "telephone_number": "972-522-5758",
            "fax_number": "972-522-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 N HWY 360 SUITE 410",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750502594",
            "telephone_number": "972-522-5758",
            "fax_number": "972-522-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIPLE AGI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2009-04-20",
        "status": "A",
        "authorized_official_last_name": "UDEOZOH",
        "authorized_official_first_name": "BERNADINE",
        "authorized_official_middle_name": "ADANNA",
        "authorized_official_title_or_position": "RN, DON/ADMINISTRATOR",
        "authorized_official_telephone_number": "972-522-5758",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Trinity Medical Supply Company
• Trinity Neurodiagnostics LLC
• Triumph Billing SVCS
• Triumph Rehab & Counseling LLC
• Claude Russell Trotter III
• Lupita Trujillo, RN
• Trumed Family Clinic

• Home Health Agency in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.