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General NPI Number Information
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NPI Number | 1982302501
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Entity Type | Organization
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Legal Business Name | TRINITY HOME HEALTH LLC
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Dates
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Enumeration Date | 02/22/2023
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Last Update Date | 01/29/2024
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Provider Practice Location Address
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Address Line | 500 CYPRESS ST STE S14
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City | PISMO BEACH
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State | CA
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Zip | 93449-2693
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Country | US
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Telephone | 805-936-5005
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Fax | 805-936-5040
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Provider Business Mailing Address
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Address Line | 500 CYPRESS ST STE S14
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City | PISMO BEACH
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State | CA
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Zip | 93449-2693
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Country | US
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Telephone | 805-936-5005
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Fax | 805-936-5040
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | SHERRI CARRIGAN
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Credential |
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Telephone | 805-936-5005
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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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