NPIMap

Organization Active NPI

Tri Starr Home Care LLC

  • Home Health Agency
  • San Jose, CA
National Provider Identifier
1508422775
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TRI STARR HOME CARE LLC
Practice address
1669 Flanigan Dr.
Unit H
San Jose, CA 95121
Phone
(408) 921-3936
Fax
(408) 841-9695
NPI assigned
May 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Authorized official

Name
Mrs. Sherill A Domingo
Title
Owner
Phone
(408) 808-1392

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
PACE Provider Organization 251T00000X
Alzheimer Center (Dementia Center) 311500000X

Addresses

Primary practice location

1669 Flanigan Dr.
Unit H
San Jose, CA 95121

Mailing address

1669 Flanigan Dr.
Unit H
San Jose, CA 95121
Phone (408) 921-3936

National Provider Directory

National Provider Directory
Tax ID family
Tri Starr Home Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1669 Flanigan Dr
Unit H
San Jose, CA 95121
Phone (408) 921-3936

NPI Registry JSON

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557792000000",
    "number": "1508422775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1669 FLANIGAN DR.",
            "address_2": "UNIT H",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95121",
            "telephone_number": "408-921-3936",
            "fax_number": "408-841-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1669 FLANIGAN DR.",
            "address_2": "UNIT H",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95121",
            "telephone_number": "408-921-3936",
            "fax_number": "408-841-9695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI STARR HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-14",
        "last_updated": "2019-05-14",
        "status": "A",
        "authorized_official_last_name": "DOMINGO",
        "authorized_official_first_name": "SHERILL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-808-1392",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.