Healthcare Provider Details

I. General information

NPI: 1457214967
Provider Name (Legal Business Name): TRILOGY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3228 N 17TH ST
PHILADELPHIA PA
19140-4913
US

IV. Provider business mailing address

5231 GLENLOCH ST
PHILADELPHIA PA
19124-1509
US

V. Phone/Fax

Practice location:
  • Phone: 888-637-3492
  • Fax:
Mailing address:
  • Phone: 888-637-3492
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: CORNELIUS COUCH
Title or Position: CEO
Credential:
Phone: 215-954-7395