MEDICARE: TRINITY HOME HEALTH SERVICES

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	251E00000X	Home Health Agency	029-057	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00001823C	OTHER		CCSP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841299187
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRINITY HOME HEALTH SERVICES

Provider Business Mailing Address
First Line	:	PO BOX 532020
Second Line	:
City	:	LIVONIA
State	:	MI
Zip	:	48153-2020
Country	:	US
Telephone Number	:	877-827-0788
Fax Number	:

Provider Business Practice Location Address
First Line	:	1021 JAMESTOWN BLVD STE 219
Second Line	:
City	:	WATKINSVILLE
State	:	GA
Zip	:	30677-4176
Country	:	US
Telephone Number	:	706-389-2273
Fax Number	:	706-389-2298

Authorized Official
Title or Position	:	CFO
Name	:	MARCUS BOWENS
Credential	:
Telephone Number	:	770-283-4006

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	03/04/2026

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1021 JAMESTOWN BLVD STE 219
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1124285432 — ANGELA A SIMMONS-BUTLER NP
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1053885871 — SHERYL A NEWBERRY NP
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Directions to “TRINITY HOME HEALTH SERVICES ” Practice Location

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