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NPI Code Detail

MEDICARE: TRIDENT HOME CARE LLC

MEDICARE: TRIDENT HOME CARE LLC
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
1251E00000XHome Health Agency
2253Z00000XIn Home Supportive Care Agency
33747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1558238386
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRIDENT HOME CARE LLC
Provider Business Mailing Address
First Line : 13119 ORCHARD MILL DR
Second Line :
City : RICHMOND
State : TX
Zip : 77407-3205
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13119 ORCHARD MILL DR
Second Line :
City : RICHMOND
State : TX
Zip : 77407-3205
Country : US
Telephone Number : 561-713-8271
Fax Number :
Authorized Official
Title or Position : OWNER/PRESIDENT
Name : VICTOR CHUC
Credential :
Telephone Number : 561-713-8271
Provider Enumeration Date : 10/17/2025
Last Update Date : 12/11/2025

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Directions to “TRIDENT HOME CARE LLC ” Practice Location

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