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General NPI Number Information
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NPI Number | 1093746562
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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 | 07/05/2006
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Last Update Date | 04/22/2024
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Provider Practice Location Address
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Address Line | 707 CEDAR ST STE 320
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City | SOUTH BEND
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State | IN
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Zip | 46617-2054
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Country | US
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Telephone | 574-335-8600
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Fax | 574-335-0751
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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 | 734-343-6451
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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 |
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