Healthcare Provider Details
I. General information
NPI: 1154062289
Provider Name (Legal Business Name): TRINITY CARE HOMES & TRANSIT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/05/2022
Last Update Date: 09/12/2022
Certification Date: 09/12/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7370 COTTON GROVE LN
MEMPHIS TN
38119-8970
US
IV. Provider business mailing address
6000 POPLAR AVE STE 250
MEMPHIS TN
38119-3974
US
V. Phone/Fax
- Phone: 901-237-6682
- Fax: 901-290-5765
- Phone: 901-237-6682
- Fax: 901-290-5765
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 374U00000X |
| Taxonomy | Home Health Aide |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ALANAH
MICHELE
JONES
Title or Position: CEO
Credential: LPN
Phone: 901-237-6682