Healthcare Provider Details

I. General information

NPI: 1457272148
Provider Name (Legal Business Name): TRINITY HOME PLUS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1345 CHEROKEE RD
INMAN KS
67546-8086
US

IV. Provider business mailing address

1345 CHEROKEE RD
INMAN KS
67546-8086
US

V. Phone/Fax

Practice location:
  • Phone: 620-585-6908
  • Fax: 620-585-6930
Mailing address:
  • Phone: 620-585-6908
  • Fax: 620-585-6930

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: AMY J KELLY
Title or Position: OWNER
Credential: LPN
Phone: 785-342-3695