Healthcare Provider Details

I. General information

NPI: 1801602909
Provider Name (Legal Business Name): TRINITY ASSET MANAGEMENT, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2024
Last Update Date: 01/02/2025
Certification Date: 01/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2612 CHELWOOD PARK BLVD NE
ALBUQUERQUE NM
87112-1978
US

IV. Provider business mailing address

108 ROEHL RD NW
ALBUQUERQUE NM
87107-6731
US

V. Phone/Fax

Practice location:
  • Phone: 505-620-5504
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MELISSA MORENUS
Title or Position: MANAGER
Credential:
Phone: 505-620-5504