Healthcare Provider Details

I. General information

NPI: 1558250340
Provider Name (Legal Business Name): TRIN'NAZ HELPING HANDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2025
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

312 GROVE AVE
BARSTOW CA
92311-5449
US

IV. Provider business mailing address

312 GROVE AVE
BARSTOW CA
92311-5449
US

V. Phone/Fax

Practice location:
  • Phone: 909-534-3131
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name: MS. LATRINA WALLACE
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 909-534-3131