Provider Demographics
NPI:1083981203
Name:TRINITY HOSPICE INC
Entity Type:Organization
Organization Name:TRINITY HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:OBUMNEME
Authorized Official - Middle Name:
Authorized Official - Last Name:ALILIONWU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-920-5680
Mailing Address - Street 1:484 E FOOTHILL BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-9904
Mailing Address - Country:US
Mailing Address - Phone:909-920-5680
Mailing Address - Fax:909-920-5036
Practice Address - Street 1:484 E FOOTHILL BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-9904
Practice Address - Country:US
Practice Address - Phone:909-920-5680
Practice Address - Fax:909-920-5036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-17
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based