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NPI 1588314801

NPI 1588314801 : A TRINITY RESIDENTIAL CARE HCS LLC : DALLAS, TX

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General NPI Number Information
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    NPI Number           |    1588314801
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    Entity Type          |    Organization 
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    Legal Business Name  |    A TRINITY RESIDENTIAL CARE HCS LLC 
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Dates
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    Enumeration Date     |    03/28/2022
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    Last Update Date     |    02/27/2026
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Provider Practice Location Address
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    Address Line         |    1427 CARAVAN TRL 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75241-2103
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    Country              |    US
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    Telephone            |    972-217-0598
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    Fax                  |    214-242-4598
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Provider Business Mailing Address
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    Address Line         |    333 COLD WATER DR 
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    City                 |    DESOTO
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    State                |    TX
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    Zip                  |    75115-3795
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    Country              |    US
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    Telephone            |    972-217-0598
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    Fax                  |    214-242-4598
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     MARK A TURNER 
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    Credential           |    
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    Telephone            |    972-217-0598
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    320600000X
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    Taxonomy Name        |    Intellectual and/or Developmental Disabilities Residential Treatment Facility
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    320900000X
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    Taxonomy Name        |    Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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    License Number       |    
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    License Number State |    
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