MEDICARE: TRINITY 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
1	251B00000X	Case Management Agency
2	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1881044790
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRINITY CARE LLC

Provider Business Mailing Address
First Line	:	2500 POCOSHOCK PL STE 301
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23235-6345
Country	:	US
Telephone Number	:	804-539-7316
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 POCOSHOCK PL STE 301
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23235-6345
Country	:	US
Telephone Number	:	804-539-7316
Fax Number	:

Authorized Official
Title or Position	:	COA
Name	:	DAVONNE JENIER GARNER
Credential	:
Telephone Number	:	804-539-7316

Provider Enumeration Date	:	06/21/2016
Last Update Date	:	01/07/2026

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