Provider Demographics
NPI:1205191301
Name:TRINITY SENIOR CARE GROUP, INC.
Entity Type:Organization
Organization Name:TRINITY SENIOR CARE GROUP, INC.
Other - Org Name:TRINITY ADULT DAY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:FREDINNA
Authorized Official - Middle Name:C
Authorized Official - Last Name:BARR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-952-8316
Mailing Address - Street 1:5307 72ND ST E
Mailing Address - Street 2:
Mailing Address - City:PALMETTO
Mailing Address - State:FL
Mailing Address - Zip Code:34221-9454
Mailing Address - Country:US
Mailing Address - Phone:941-952-8316
Mailing Address - Fax:
Practice Address - Street 1:5307 72ND ST E
Practice Address - Street 2:
Practice Address - City:PALMETTO
Practice Address - State:FL
Practice Address - Zip Code:34221-9454
Practice Address - Country:US
Practice Address - Phone:941-952-8316
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-05
Last Update Date:2012-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care