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General NPI Number Information
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NPI Number | 1184102907
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Entity Type | Organization
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Legal Business Name | TRINITY FIRST HOME CARE LLC
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Dates
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Enumeration Date | 08/02/2018
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Last Update Date | 08/02/2018
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Provider Practice Location Address
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Address Line | 1727 SOUTHERN OAK LOOP
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City | MINNEOLA
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State | FL
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Zip | 34715-5705
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Country | US
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Telephone | 352-978-6233
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Fax | 352-708-4497
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Provider Business Mailing Address
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Address Line | 1727 SOUTHERN OAK LOOP
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City | MINNEOLA
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State | FL
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Zip | 34715-5705
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Country | US
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Telephone | 352-978-6233
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KATRINA DENISE BATTLE
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Credential |
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Telephone | 352-978-6233
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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License Number |
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License Number State | FL
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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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