Healthcare Provider Details

I. General information

NPI: 1912140914
Provider Name (Legal Business Name): TRINITY MEDICAL HOME CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2009
Last Update Date: 04/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6030 GOLF CLUB LN
FAIRFIELD OH
45011-7816
US

IV. Provider business mailing address

6030 GOLF CLUB LN
FAIRFIELD OH
45011-7816
US

V. Phone/Fax

Practice location:
  • Phone: 513-703-9755
  • Fax: 513-672-0196
Mailing address:
  • Phone: 513-703-9755
  • Fax: 513-672-0196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number1843311
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number1843311
License Number StateOH

VIII. Authorized Official

Name: MRS. FRANKIE ZIMMER
Title or Position: PRESIDENT
Credential:
Phone: 513-703-9755