Healthcare Provider Details

I. General information

NPI: 1518036458
Provider Name (Legal Business Name): TRINITY HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4805 METROPOLITAN AVE STE 3-02
RIDGEWOOD NY
11385-1007
US

IV. Provider business mailing address

4222 PAYSPHERE CIRCLE
CHICAGO IL
60674-0042
US

V. Phone/Fax

Practice location:
  • Phone: 718-961-1634
  • Fax: 718-762-8741
Mailing address:
  • Phone: 800-879-6137
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number0796L001
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number023313
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number023313
License Number StateNY
# 5
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MEENAL SETHNA
Title or Position: PRESIDENT & CFO
Credential:
Phone: 800-879-6137