Provider Demographics
NPI:1528612959
Name:TRIPPLE A HEALTHCARE LIMITED LIABILITY COMPANY
Entity type:Organization
Organization Name:TRIPPLE A HEALTHCARE LIMITED LIABILITY COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LUKMAN
Authorized Official - Middle Name:ADEKUNLE
Authorized Official - Last Name:TIJANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-290-0641
Mailing Address - Street 1:9218 RUSTLING MANOR LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-1829
Mailing Address - Country:US
Mailing Address - Phone:832-290-0641
Mailing Address - Fax:
Practice Address - Street 1:9218 RUSTLING MANOR LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-1829
Practice Address - Country:US
Practice Address - Phone:832-290-0641
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-24
Last Update Date:2019-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion