Healthcare Provider Details

I. General information

NPI: 1992702757
Provider Name (Legal Business Name): TRINITY HOME HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 10/11/2024
Certification Date: 10/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

659 TOWER AVE FL 2
HARTFORD CT
06112-1259
US

IV. Provider business mailing address

PO BOX 532020
LIVONIA MI
48153-2020
US

V. Phone/Fax

Practice location:
  • Phone: 860-763-7600
  • Fax:
Mailing address:
  • Phone: 877-827-0788
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number9915743
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number9915743
License Number StateCT

VIII. Authorized Official

Name: MARCUS BOWENS
Title or Position: CFO
Credential:
Phone: 770-283-4006