Provider Demographics
NPI:1194039966
Name:CENTRO ONE HEALTH INC
Entity Type:Organization
Organization Name:CENTRO ONE HEALTH INC
Other - Org Name:TRINITY HOME CARE INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:SUGRUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-331-3294
Mailing Address - Street 1:336 GRATTAN ST
Mailing Address - Street 2:
Mailing Address - City:CHICOPEE
Mailing Address - State:MA
Mailing Address - Zip Code:01020-1314
Mailing Address - Country:US
Mailing Address - Phone:413-331-3294
Mailing Address - Fax:413-331-3299
Practice Address - Street 1:336 GRATTAN ST
Practice Address - Street 2:
Practice Address - City:CHICOPEE
Practice Address - State:MA
Practice Address - Zip Code:01020-1314
Practice Address - Country:US
Practice Address - Phone:413-331-3294
Practice Address - Fax:413-331-3298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-03
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAR2982251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health