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General NPI Number Information
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NPI Number | 1003919101
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Entity Type | Organization
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Legal Business Name | TRINITY HOME HEALTH SERVICES
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 04/22/2024
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Provider Practice Location Address
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Address Line | 2301 W. 22ND STREET SUITE 107
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City | OAK BROOK
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State | IL
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Zip | 60523-4104
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Country | US
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Telephone | 888-584-7888
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Fax | 630-574-2358
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Provider Business Mailing Address
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Address Line | PO BOX 532020
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City | LIVONIA
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State | MI
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Zip | 48153-2020
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Country | US
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Telephone | 877-827-0788
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MARCUS BOWENS
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Credential |
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Telephone | 770-283-4006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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