Organization Active NPI

Tristar Home Care, LLC

  • In Home Supportive Care Agency
  • Camarillo, CA
National Provider Identifier
1992277669
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
TRISTAR HOME CARE, LLC
Practice address
575 Dawson Dr Ste 205
Camarillo, CA 93012-8062
Phone
(805) 660-2766
NPI assigned
Dec 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2018

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

Authorized official

Name
Nico Abad Santos
Title
Owner
Phone
(805) 660-2766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

575 Dawson Dr Ste 205
Camarillo, CA 93012-8062

Mailing address

5287 Lynnwood Dr
Camarillo, CA 93012-4137
Phone (805) 660-2766

National Provider Directory

National Provider Directory

Locations

575 Dawson Dr
Ste 205
Camarillo, CA 93012
Phone (805) 660-2766

NPI Registry JSON

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545177600000",
    "number": "1992277669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5287 LYNNWOOD DR",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930124137",
            "telephone_number": "805-660-2766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 DAWSON DR STE 205",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930128062",
            "telephone_number": "805-660-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTAR HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-19",
        "last_updated": "2018-12-19",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "NICO",
        "authorized_official_middle_name": "ABAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-660-2766"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; 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.