Healthcare Provider Details

I. General information

NPI: 1598689929
Provider Name (Legal Business Name): TRINITY HEARTS RESIDENTIAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 RED LION RD APT 2D
PHILADELPHIA PA
19114-1309
US

IV. Provider business mailing address

3400 RED LION RD APT 2D
PHILADELPHIA PA
19114-1309
US

V. Phone/Fax

Practice location:
  • Phone: 267-465-1113
  • Fax:
Mailing address:
  • Phone: 267-465-1113
  • Fax:

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: AMANDINE C NAHO
Title or Position: OWNER
Credential:
Phone: 215-602-1555