Provider Demographics
NPI:1023018975
Name:TRINITY HEALTH AND HOME CARE SERVICES, LLC
Entity Type:Organization
Organization Name:TRINITY HEALTH AND HOME CARE SERVICES, LLC
Other - Org Name:TRINITY HEALTH AND HOME CARE SERVICES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ALT ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ISRAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MWESIGWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-263-2389
Mailing Address - Street 1:PO BOX 171817
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76003-1817
Mailing Address - Country:US
Mailing Address - Phone:972-782-9190
Mailing Address - Fax:817-585-4806
Practice Address - Street 1:2720 STAIN GLASS CT
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-5052
Practice Address - Country:UM
Practice Address - Phone:972-782-9190
Practice Address - Fax:817-585-4806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-21
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008318251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX010325OtherHCSSA LICENSE NUMBER
TX181836101Medicaid
TX010325OtherHCSSA LICENSE NUMBER