Provider Demographics
NPI:1013376854
Name:TRINITY J'S HEALTHCARE LLC
Entity Type:Organization
Organization Name:TRINITY J'S HEALTHCARE LLC
Other - Org Name:TRINITY J'S HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:VICKI
Authorized Official - Middle Name:
Authorized Official - Last Name:GREENWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-822-9398
Mailing Address - Street 1:12322 EAST FWY
Mailing Address - Street 2:SUITE C
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77015-5529
Mailing Address - Country:US
Mailing Address - Phone:713-822-9398
Mailing Address - Fax:713-450-2179
Practice Address - Street 1:12322 EAST FWY
Practice Address - Street 2:SUITE C
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77015-5529
Practice Address - Country:US
Practice Address - Phone:713-822-9398
Practice Address - Fax:713-450-2179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-22
Last Update Date:2016-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care