Healthcare Provider Details

I. General information

NPI: 1205745072
Provider Name (Legal Business Name): TRINITY RESIDENTIAL SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2026
Last Update Date: 09/05/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HILLSIDE RD
ANTIOCH CA
94509-4943
US

IV. Provider business mailing address

2108 N ST # 13858
SACRAMENTO CA
95816-5712
US

V. Phone/Fax

Practice location:
  • Phone: 707-656-9368
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State

VIII. Authorized Official

Name: TRINITY GIBSON
Title or Position: OWNER
Credential:
Phone: 510-667-2587