Healthcare Provider Details

I. General information

NPI: 1902226244
Provider Name (Legal Business Name): TRINITY NURSING AND REHABILITATION OF COMFORT, LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2014
Last Update Date: 02/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 FALTIN STREET
COMFORT TX
78013
US

IV. Provider business mailing address

419 S ELM ST
DENTON TX
76201-6085
US

V. Phone/Fax

Practice location:
  • Phone: 830-995-3757
  • Fax: 830-995-3057
Mailing address:
  • Phone: 940-387-4388
  • Fax: 940-380-2410

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number140018
License Number StateTX

VIII. Authorized Official

Name: MR. DAN D FLAGG
Title or Position: CEO
Credential:
Phone: 940-387-4388