MEDICARE: TRINITY HEARTS HEALTHCARE, LLC

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
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1659233039
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRINITY HEARTS HEALTHCARE, LLC

Provider Business Mailing Address
First Line	:	3829 PARK HEIGHTS AVE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21215-7611
Country	:	US
Telephone Number	:	410-329-0397
Fax Number	:

Provider Business Practice Location Address
First Line	:	3829 PARK HEIGHTS AVE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21215-7611
Country	:	US
Telephone Number	:	410-329-0397
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BRUCE COPES
Credential	:	MD
Telephone Number	:	410-329-0397

Provider Enumeration Date	:	11/24/2025
Last Update Date	:	11/24/2025

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