Healthcare Provider Details

I. General information

NPI: 1427372176
Provider Name (Legal Business Name): TRINITY H.C.S., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2010
Last Update Date: 03/24/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4807 MISTY WOOD CT
ARLINGTON TX
76017-1216
US

IV. Provider business mailing address

4807 MISTY WOOD CT
ARLINGTON TX
76017-1216
US

V. Phone/Fax

Practice location:
  • Phone: 817-572-6068
  • Fax: 817-869-0834
Mailing address:
  • Phone: 817-572-6068
  • Fax: 817-869-0834

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. WILLIAM A LUND
Title or Position: PRESIDENT
Credential:
Phone: 817-572-6068