Provider Demographics
NPI:1124890090
Name:TRIPLEHEARTS HOME CARE,LLC
Entity type:Organization
Organization Name:TRIPLEHEARTS HOME CARE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LEGAL OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:CRESSIDA
Authorized Official - Last Name:ROMANS-MCKENZIE
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:404-402-3139
Mailing Address - Street 1:1081 CROCUS ST NE
Mailing Address - Street 2:
Mailing Address - City:PALM BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32907-3296
Mailing Address - Country:US
Mailing Address - Phone:404-402-3139
Mailing Address - Fax:
Practice Address - Street 1:1081 CROCUS ST NE
Practice Address - Street 2:
Practice Address - City:PALM BAY
Practice Address - State:FL
Practice Address - Zip Code:32907-3296
Practice Address - Country:US
Practice Address - Phone:404-402-3139
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-24
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility