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General NPI Number Information
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NPI Number | 1417090705
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Entity Type | Organization
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Legal Business Name | TRINITY HOME HEALTH CARE
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1124 HOMER RD STE I
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City | MINDEN
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State | LA
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Zip | 71055-3028
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Country | US
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Telephone | 318-861-0306
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Fax | 318-429-8000
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Provider Business Mailing Address
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Address Line | 1124 HOMER RD STE I
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City | MINDEN
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State | LA
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Zip | 71055-3028
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Country | US
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Telephone | 318-861-0306
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Fax | 318-429-8000
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Authorized Official
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Title or Position | CEO
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Name | JOHN JONES
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Credential |
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Telephone | 318-861-0306
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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 | 469
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License Number State | LA
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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 | 1127
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License Number State | LA
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