Healthcare Provider Details

I. General information

NPI: 1447846076
Provider Name (Legal Business Name): TRINITY HOME HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2020
Last Update Date: 10/15/2024
Certification Date: 10/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2853 99TH ST
URBANDALE IA
50322-3858
US

IV. Provider business mailing address

PO BOX 532020
LIVONIA MI
48153-2020
US

V. Phone/Fax

Practice location:
  • Phone: 515-331-8947
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

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