Triune Home Health Provider Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

TRIUNE HOME HEALTH PROVIDER INC

Practice address

6030 Riverside Dr
Suite H
Chino, CA 91710-4423

Phone

(909) 297-1058

Fax

(866) 318-5432

NPI assigned

Oct 17, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Sharlene P Dela Rosa

Title

Administrator

Phone

(909) 297-1058

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629267406. Details of each certification follow.

• CCN 059015 Home health agency · Active · Details

Home health agency certification: CCN 059015

Legal name

TRIUNE HOME HEALTH PROVIDER INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 15, 2008

Last certification

Apr 30, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Aug 3, 2004 in CA

Enrollment address

6030 Riverside Dr H
Chino, CA 91710-4441

Listed as

Triune Home Health Provider, IncCCN 059015 · All quality measures

Ownership

Proprietary

Certified

Jul 15, 2008

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1629267406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6030 RIVERSIDE DR",
            "address_2": "SUITE H",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104423",
            "telephone_number": "909-297-1058",
            "fax_number": "866-318-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6030 RIVERSIDE DR",
            "address_2": "SUITE H",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104423",
            "telephone_number": "909-297-1058",
            "fax_number": "866-318-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIUNE HOME HEALTH PROVIDER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "DELA ROSA",
        "authorized_official_first_name": "SHARLENE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-297-1058",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Transtreme Nursing Services, Inc
• Treasure Ngere Treasure Ngere, REGISTERED NURSE
• Savannah Nikole Trevino
• Shirley Khanh-Dan Trinh
• Robert Tristan
• Bao-Tran Luu Truong, DMD
• Michelle Truong
• Quy Minh Truong, PMHNP-BC
• Betty PO Tsang, D.O.
• Ricky Tsao

• Home Health Agency in Chino, CA
• Providers in Chino, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.

Verify at the official NPI Registry.