MEDICARE: TRINITY CIRCLE HEALTH CARE, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	253J00000X	Foster Care Agency
2	261QA0600X	Adult Day Care Clinic/Center
3	374T00000X	Religious Nonmedical Nursing Personnel
4	164W00000X	Licensed Practical Nurse
5	1710I1002X	Independent Duty Corpsman
6	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1659126050
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRINITY CIRCLE HEALTH CARE, LLC

Provider Business Mailing Address
First Line	:	27 PECKHAM ST
Second Line	:
City	:	ATTLEBORO
State	:	MA
Zip	:	02703-4320
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4 COURT ST STE B101
Second Line	:
City	:	TAUNTON
State	:	MA
Zip	:	02780-3218
Country	:	US
Telephone Number	:	781-494-0432
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	NERLANDE BRUTUS
Credential	:	MAP-CERT MEDICAL
Telephone Number	:	781-492-4607

Provider Enumeration Date	:	04/19/2024
Last Update Date	:	04/19/2024

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