Healthcare Provider Details

I. General information

NPI: 1073574547
Provider Name (Legal Business Name): TRINITY HOME MEDICAL EQUIPMENT CO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2006
Last Update Date: 01/10/2025
Certification Date: 01/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 S ELDORADO RD
BLOOMINGTON IL
61704-4501
US

IV. Provider business mailing address

306 S ELDORADO RD
BLOOMINGTON IL
61704-4501
US

V. Phone/Fax

Practice location:
  • Phone: 309-663-6636
  • Fax: 309-663-6909
Mailing address:
  • Phone: 309-663-6636
  • Fax: 309-663-6909

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. BARRY J HINKLE
Title or Position: PRESIDENT
Credential:
Phone: 309-663-6636