Healthcare Provider Details
I. General information
NPI: 1356987408
Provider Name (Legal Business Name): TRINITY CARE HOMES & TRANSIT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/25/2019
Last Update Date: 11/14/2023
Certification Date: 11/14/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7370 COTTON GROVE LN
MEMPHIS TN
38119-8970
US
IV. Provider business mailing address
7370 COTTON GROVE LN
MEMPHIS TN
38119-8970
US
V. Phone/Fax
- Phone: 901-237-6682
- Fax:
- Phone: 901-237-6682
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 347C00000X |
| Taxonomy | Private Vehicle |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 320900000X |
| Taxonomy | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ALANAH
M
JONES
Title or Position: CEO
Credential: LPN
Phone: 901-237-6682