Provider Demographics
NPI:1134372394
Name:TPHHOMECARESERVICES
Entity type:Organization
Organization Name:TPHHOMECARESERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRESSA
Authorized Official - Middle Name:P
Authorized Official - Last Name:HILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-361-5852
Mailing Address - Street 1:1501 E AVENUE I SPC 187
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93535-2251
Mailing Address - Country:US
Mailing Address - Phone:661-361-5852
Mailing Address - Fax:
Practice Address - Street 1:1501 E AVENUE I SPC 187
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93535-2251
Practice Address - Country:US
Practice Address - Phone:661-361-5852
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-31
Last Update Date:2008-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA00107225251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health