Provider Demographics
NPI:1033425525
Name:TRINITY HEALTH SERVICE
Entity Type:Organization
Organization Name:TRINITY HEALTH SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KENSAH
Authorized Official - Suffix:
Authorized Official - Credentials:RN-BSN
Authorized Official - Phone:860-291-8900
Mailing Address - Street 1:914 MAIN ST STE 200
Mailing Address - Street 2:
Mailing Address - City:EAST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06108-2275
Mailing Address - Country:US
Mailing Address - Phone:860-291-8900
Mailing Address - Fax:860-291-8903
Practice Address - Street 1:914 MAIN ST STE 200
Practice Address - Street 2:
Practice Address - City:EAST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06108-2275
Practice Address - Country:US
Practice Address - Phone:860-291-8900
Practice Address - Fax:860-291-8903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-23
Last Update Date:2010-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTHCA.0000467251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health