Healthcare Provider Details

I. General information

NPI: 1326246067
Provider Name (Legal Business Name): TRINITY GROUP HOMES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15736 W CHRISTY DR
SURPRISE AZ
85379-4665
US

IV. Provider business mailing address

9814 W ROCK SPRINGS DR
PEORIA AZ
85383-2948
US

V. Phone/Fax

Practice location:
  • Phone: 623-537-7195
  • Fax: 623-321-5881
Mailing address:
  • Phone: 623-537-7195
  • Fax: 623-321-5881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code3245S0500X
TaxonomyChildren's Substance Abuse Rehabilitation Facility
License Number
License Number StateAZ
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateAZ

VIII. Authorized Official

Name: MR. TERRENCE HICKS
Title or Position: OWNER
Credential:
Phone: 623-537-7195