MEDICARE: TRINITY IN HOME SERVICE INC

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
1	372500000X	Chore Provider

General Provider Information

NPI Number	:	1699361386
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRINITY IN HOME SERVICE INC

Provider Business Mailing Address
First Line	:	5223 DELMAR BLVD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63108-1027
Country	:	US
Telephone Number	:	314-367-5453
Fax Number	:	314-361-7354

Provider Business Practice Location Address
First Line	:	5223 DELMAR BLVD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63108-1027
Country	:	US
Telephone Number	:	314-367-5453
Fax Number	:	314-361-7354

Authorized Official
Title or Position	:	TREASURE
Name	:	FRANK ELLIOTT
Credential	:
Telephone Number	:	314-367-5453

Provider Enumeration Date	:	12/16/2020
Last Update Date	:	12/16/2020

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Directions to “TRINITY IN HOME SERVICE INC ” Practice Location

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