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NPI Code Detail

MEDICARE: TRINITY HOME HEALTH CARE, INC.

MEDICARE: TRINITY HOME HEALTH CARE, INC.
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
1251E00000XHome Health AgencyIN

General Provider Information

NPI Number : 1770604720
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRINITY HOME HEALTH CARE, INC.
Provider Business Mailing Address
First Line : 3502 STELLHORN RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46815-4631
Country : US
Telephone Number : 260-492-5804
Fax Number :
Provider Business Practice Location Address
First Line : 3502 STELLHORN RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46815-4631
Country : US
Telephone Number : 260-492-5804
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MR. BENJAMIN B HUNTER
Credential :
Telephone Number : 260-492-5804
Provider Enumeration Date : 04/03/2007
Last Update Date : 08/22/2020

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