Provider Demographics
NPI:1013374396
Name:TRINITY HOME AND COMMUNITY CENTER
Entity Type:Organization
Organization Name:TRINITY HOME AND COMMUNITY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:ABAYOMI
Authorized Official - Last Name:OGUNNAIKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-282-9509
Mailing Address - Street 1:2600 WESTHOLLOW DR
Mailing Address - Street 2:1011
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-1912
Mailing Address - Country:US
Mailing Address - Phone:832-282-9509
Mailing Address - Fax:281-531-4002
Practice Address - Street 1:2600 WESTHOLLOW DR
Practice Address - Street 2:1011
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-1912
Practice Address - Country:US
Practice Address - Phone:832-282-9509
Practice Address - Fax:281-531-4002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-18
Last Update Date:2016-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities