Provider Demographics
NPI:1093265282
Name:TRYPHENA HOME HEALTH CARE
Entity type:Organization
Organization Name:TRYPHENA HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:TRYPHENA
Authorized Official - Middle Name:RUTH
Authorized Official - Last Name:BANKS
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, RN
Authorized Official - Phone:908-937-1421
Mailing Address - Street 1:2519 DEWITT TER
Mailing Address - Street 2:
Mailing Address - City:LINDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07036-4911
Mailing Address - Country:US
Mailing Address - Phone:908-937-1421
Mailing Address - Fax:908-325-1687
Practice Address - Street 1:2519 DEWITT TER
Practice Address - Street 2:
Practice Address - City:LINDEN
Practice Address - State:NJ
Practice Address - Zip Code:07036-4911
Practice Address - Country:US
Practice Address - Phone:908-937-1421
Practice Address - Fax:908-325-1687
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-11
Last Update Date:2016-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health