Provider Demographics
NPI:1063792208
Name:TRIPPANN INTERESTS, LLC
Entity type:Organization
Organization Name:TRIPPANN INTERESTS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RODGER
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:513-469-2273
Mailing Address - Street 1:8180 CORPORATE PARK DRIVE
Mailing Address - Street 2:SUITE 130
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242-3310
Mailing Address - Country:US
Mailing Address - Phone:513-469-2273
Mailing Address - Fax:513-247-0848
Practice Address - Street 1:8180 CORPORATE PARK DR
Practice Address - Street 2:SUITE 130
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-3310
Practice Address - Country:US
Practice Address - Phone:513-469-2273
Practice Address - Fax:513-247-0848
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-19
Last Update Date:2011-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care