Tri Star Home Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

006403 Issued in TX

Legal business name

TRI STAR HOME CARE INC

Practice address

1106 W 6TH St
Cisco, TX 76437

Phone

(254) 442-4996

Fax

(254) 442-2002

NPI assigned

Nov 3, 2006

Last updated

Dec 26, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robin Wylie

Title

Administrator

Phone

(254) 442-4996

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198627200000",
    "number": "1093894586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 W 6TH ST",
            "city": "CISCO",
            "state": "TX",
            "postal_code": "76437",
            "telephone_number": "254-442-4996",
            "fax_number": "254-442-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 W 6TH ST",
            "city": "CISCO",
            "state": "TX",
            "postal_code": "76437",
            "telephone_number": "254-442-4996",
            "fax_number": "254-442-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI STAR HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-12-26",
        "status": "A",
        "authorized_official_last_name": "WYLIE",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "254-442-4996"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "006403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "K06781400",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Cisco, TX
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.