Active NPI
Tri-Valley Home Health Care, Inc.
- Home Health Agency
- Stockton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 100000689
- Legal business name
- TRI-VALLEY HOME HEALTH CARE, INC.
- Practice address
- 37 W Yokuts Ave Ste C2
Stockton, CA 95207-5725 - Phone
- (209) 957-0708
- Fax
- (209) 957-7866
- NPI assigned
- Feb 8, 2007
- Last updated
- Jul 24, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Necita Tecson Triguero
- Title
- Administrator
- Phone
- (209) 957-0708
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 100000689 | CA | Primary |
Addresses
Primary practice location
37 W Yokuts Ave Ste C2
Stockton, CA 95207-5725
Mailing address
37 W Yokuts Ave Ste C2
Stockton, CA 95207-5725
Phone (209) 957-0708
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120501000140 | CA | Part A Provider - Home Health Agency | 6800058264 | Practice locations: Stockton, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1316088099. Details of each certification follow.
Home health agency certification: CCN 059435
- Legal name
- TRI-VALLEY HOME HEALTH CARE, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Nov 6, 2012
- Last certification
- Aug 4, 2021
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Mar 4, 1998 in CA
- Enrollment address
- 1231 W Robinhood Dr
Ste D5
Stockton, CA 95207-5506
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Tri-Valley Home Health Care, Inc
- Ownership
- Proprietary
- Certified
- Nov 6, 2012
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
1231 W Robinhood Dr
Ste D5
Stockton, CA 95207
Phone (209) 957-0708
37 W Yokuts Ave
Ste C2
Stockton, CA 95207
Phone (209) 957-0708
Ownership & related parties
All disclosed owners & managing parties 1
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Necita T Triguero | 5% Or Greater Direct Ownership Interest | Mar 15, 2022 | 100% |
| Corporate Officer | Mar 15, 2022 | 100% | |
| Corporate Director | Mar 15, 2022 | 100% | |
| W-2 Managing Employee | Mar 15, 2022 | 100% | |
| Operational/Managerial Control | Mar 15, 2022 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216857600000",
"number": "1316088099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 W YOKUTS AVE STE C2",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952075725",
"telephone_number": "209-957-0708",
"fax_number": "209-957-7866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 W YOKUTS AVE STE C2",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952075725",
"telephone_number": "209-957-0708",
"fax_number": "209-957-7866"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRI-VALLEY HOME HEALTH CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-08",
"last_updated": "2008-07-24",
"status": "A",
"authorized_official_last_name": "TRIGUERO",
"authorized_official_first_name": "NECITA",
"authorized_official_middle_name": "TECSON",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "209-957-0708"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": "100000689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.