Organization Active NPI

Tri-State Home Care Agency LLC

  • Home Health Agency
  • Phoenix, AZ
National Provider Identifier
1396685921
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TRI-STATE HOME CARE AGENCY LLC
Practice address
915 W Alta Vista Rd Apt 3050
Phoenix, AZ 85041-5655
Phone
(202) 322-8157
NPI assigned
Apr 1, 2026
Last updated
Apr 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Authorized official

Name
Mr. Zeze Rwasama
Title
Managing Owner
Phone
(202) 322-8157

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

915 W Alta Vista Rd Apt 3050
Phoenix, AZ 85041-5655

Mailing address

915 W Alta Vista Rd Apt 3050
Phoenix, AZ 85041-5655
Phone (202) 322-8157

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1775001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775001600000",
    "number": "1396685921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 W ALTA VISTA RD APT 3050",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850415655",
            "telephone_number": "202-322-8157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 W ALTA VISTA RD APT 3050",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850415655",
            "telephone_number": "202-322-8157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-01",
        "last_updated": "2026-04-01",
        "certification_date": "2026-03-31",
        "status": "A",
        "authorized_official_last_name": "RWASAMA",
        "authorized_official_first_name": "ZEZE",
        "authorized_official_title_or_position": "MANAGING OWNER",
        "authorized_official_telephone_number": "202-322-8157",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; 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.