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NPI Code Detail

MEDICARE: TRINITY HOME HEALTH SERVICES

MEDICARE: TRINITY HOME HEALTH SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251G00000XCommunity Based Hospice Care Agency029035HGA

General Provider Information

NPI Number : 1447242623
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRINITY HOME HEALTH SERVICES
Provider Business Mailing Address
First Line : PO BOX 532020
Second Line :
City : LIVONIA
State : MI
Zip : 48153-2020
Country : US
Telephone Number : 877-827-0788
Fax Number :
Provider Business Practice Location Address
First Line : 1021 JAMESTOWN BLVD STE 219
Second Line :
City : WATKINSVILLE
State : GA
Zip : 30677-4176
Country : US
Telephone Number : 706-389-2273
Fax Number : 706-208-8883
Authorized Official
Title or Position : ADMIN
Name : MARCUS BOWENS
Credential :
Telephone Number : 770-283-4006
Provider Enumeration Date : 08/16/2005
Last Update Date : 03/04/2026

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1021 JAMESTOWN BLVD STE 219
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1932672300 — ST. MARY'S MEDICAL GROUP, INC.
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1053885871 — SHERYL A NEWBERRY NP
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Directions to “TRINITY HOME HEALTH SERVICES ” Practice Location

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