Healthcare Provider Details

I. General information

NPI: 1679498232
Provider Name (Legal Business Name): 4 TRINITY SUPPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8426 GREENWAY ROAD APT A
TOWSON MD
21286
US

IV. Provider business mailing address

100 WEST RD STE 300
TOWSON MD
21204-2370
US

V. Phone/Fax

Practice location:
  • Phone: 443-935-9084
  • Fax: 443-935-9084
Mailing address:
  • Phone: 443-935-9084
  • Fax: 443-935-9084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: NATA CHARLES
Title or Position: OWNER
Credential:
Phone: 443-935-9084