Provider Demographics
NPI:1144524216
Name:TRIPLE E HEALTH SERVICES LLC
Entity type:Organization
Organization Name:TRIPLE E HEALTH SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOE
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BS, MSN
Authorized Official - Phone:813-642-9000
Mailing Address - Street 1:11814 N. 56TH STREET
Mailing Address - Street 2:SUITE A
Mailing Address - City:TEMPLE TERRACE
Mailing Address - State:FL
Mailing Address - Zip Code:33617
Mailing Address - Country:US
Mailing Address - Phone:813-642-9000
Mailing Address - Fax:813-642-9001
Practice Address - Street 1:11814 N. 56TH STREET
Practice Address - Street 2:SUITE A
Practice Address - City:TEMPLE TERRACE
Practice Address - State:FL
Practice Address - Zip Code:33617
Practice Address - Country:US
Practice Address - Phone:813-642-9000
Practice Address - Fax:813-642-9001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-05
Last Update Date:2015-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL10-9785OtherMEDICARE