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NPI Code Detail

MEDICARE: TRINITY HOUSE

MEDICARE: TRINITY HOUSE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1320800000XMental Illness Community Based Residential Treatment Facility

General Provider Information

NPI Number : 1235066358
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRINITY HOUSE
Provider Business Mailing Address
First Line : 852 COVENTRY LN
Second Line :
City : FAIRFIELD
State : CA
Zip : 94533-3609
Country : US
Telephone Number : 707-400-7886
Fax Number :
Provider Business Practice Location Address
First Line : 852 COVENTRY LN
Second Line :
City : FAIRFIELD
State : CA
Zip : 94533-3609
Country : US
Telephone Number : 707-400-7886
Fax Number :
Authorized Official
Title or Position : PROVIDER
Name : MELINDA JEAN WARD
Credential :
Telephone Number : 707-400-7886
Provider Enumeration Date : 05/05/2026
Last Update Date : 05/05/2026

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Directions to “TRINITY HOUSE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.