Healthcare Provider Details

I. General information

NPI: 1205145968
Provider Name (Legal Business Name): TRINITY NURSING AND REHABILITATION, LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2010
Last Update Date: 01/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

902 E MAIN ST
SAN AUGUSTINE TX
75972-2316
US

IV. Provider business mailing address

401 N ELM ST
DENTON TX
76201-4137
US

V. Phone/Fax

Practice location:
  • Phone: 936-275-2055
  • Fax: 936-275-5658
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 Number
License Number State

VIII. Authorized Official

Name: MR. MIKE A. RICH
Title or Position: PRESIDENT
Credential:
Phone: 940-387-4388