Healthcare Provider Details

I. General information

NPI: 1265318430
Provider Name (Legal Business Name): TRINITY HOME CARE AFC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2025
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 MCKINLEY RD
WORCESTER MA
01605-2112
US

IV. Provider business mailing address

4 MCKINLEY RD
WORCESTER MA
01605-2112
US

V. Phone/Fax

Practice location:
  • Phone: 774-312-1930
  • Fax:
Mailing address:
  • Phone: 774-312-1930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MARIA DC TOLEDO
Title or Position: ADMINISTRATOR
Credential:
Phone: 774-312-1930