Tri-State Home Care Services of Pennsylvania, LLC

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

TRI-STATE HOME CARE SERVICES OF PENNSYLVANIA, LLC

Practice address

1150 First Ave Ste 511
King of Prussia, PA 19406-1316

Phone

(855) 813-1332

Fax

(304) 298-3435

NPI assigned

Mar 26, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Donald Kyle Harris II

Title

Owner

Phone

(855) 813-1332

Specialties & licenses 2

Addresses

Other names 1

• Tri-State Home Care Services Doing business as

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585526400000",
    "number": "1760019871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 PRESIDENTS ST.",
            "city": "FORT ASHBY",
            "state": "WV",
            "postal_code": "267190017",
            "telephone_number": "855-813-1332",
            "fax_number": "304-298-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 FIRST AVE STE 511",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061316",
            "telephone_number": "855-813-1332",
            "fax_number": "304-298-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE HOME CARE SERVICES OF PENNSYLVANIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "855-813-1332",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-State Home Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian Tran, D.O.
• Kiet Tran
• Tuyet Tran
• Taylor Tregear
• Caitlin Maureen Trevino, DPT
• Zachary Troutman
• Trustees of the University of Pennsylvania
• Trustees of the University of Pennsylvania
• Jason Trzaska, PMHNP
• Danielle Yael Tsoran, ATR-BC, LPC, MPS

• Personal Care Attendant in King of Prussia, PA
• Providers in King of Prussia, PA by specialty
• Personal Care Attendant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; 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.