MEDICARE: TRINITY'S GRACE WHOLECARE

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251C00000X	Developmentally Disabled Services Day Training Agency
2	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
3	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1639026560
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRINITY'S GRACE WHOLECARE

Provider Business Mailing Address
First Line	:	2713 COLLEY AVE
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23517-1133
Country	:	US
Telephone Number	:	757-991-4212
Fax Number	:

Provider Business Practice Location Address
First Line	:	2713 COLLEY AVE
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23517-1133
Country	:	US
Telephone Number	:	757-991-4212
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	APRIL FENNER
Credential	:
Telephone Number	:	757-991-4212

Provider Enumeration Date	:	03/11/2026
Last Update Date	:	03/11/2026

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Directions to “TRINITY'S GRACE WHOLECARE ” Practice Location

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