Healthcare Provider Details

I. General information

NPI: 1679465926
Provider Name (Legal Business Name): TRINITY HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2025
Last Update Date: 07/18/2025
Certification Date: 07/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9458 WOODLAND HILLS DR APT 58
WEST CHESTER OH
45011-9314
US

IV. Provider business mailing address

9458 WOODLAND HILLS DR APT 58
WEST CHESTER OH
45011-9314
US

V. Phone/Fax

Practice location:
  • Phone: 513-240-3914
  • Fax:
Mailing address:
  • Phone: 513-240-3914
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: NATHY NGAYAMA MATALATALA
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 513-240-3914