Healthcare Provider Details

I. General information

NPI: 1255744942
Provider Name (Legal Business Name): TRINITY HOME HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2014
Last Update Date: 06/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7506 NEBRASKA AVE
KANSAS CITY KS
66112-2467
US

IV. Provider business mailing address

7506 NEBRASKA AVE
KANSAS CITY KS
66112-2467
US

V. Phone/Fax

Practice location:
  • Phone: 913-299-1100
  • Fax: 913-299-9575
Mailing address:
  • Phone: 913-299-1100
  • Fax: 913-299-9575

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberA-105-170
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License NumberA-105-170
License Number StateKS

VIII. Authorized Official

Name: TONY KARIUKI
Title or Position: PRESIDENT / CEO
Credential: RN
Phone: 913-299-1100