Organization Active NPI

Tri-Valley Home Health Care, Inc.

  • Home Health Agency
  • Stockton, CA
National Provider Identifier
1316088099
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
100000689 Issued in CA
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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, IncCCN 059435 · All quality measures
Ownership
Proprietary
Certified
Nov 6, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Necita T Triguero Individual 5% Or Greater Direct Ownership InterestCeo / Board Member Mar 15, 2022 100%
Corporate OfficerCeo / Board Member Mar 15, 2022 100%
Corporate DirectorCeo / Board Member Mar 15, 2022 100%
W-2 Managing EmployeeCeo / Board Member Mar 15, 2022 100%
Operational/Managerial ControlCeo / Board Member 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

Verify at the official NPI Registry.