Provider Demographics
NPI:1235616988
Name:TRINITY LIVING CARE INC
Entity Type:Organization
Organization Name:TRINITY LIVING CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSALINE
Authorized Official - Middle Name:OSAHON
Authorized Official - Last Name:ERHWUNMWUNSEE
Authorized Official - Suffix:
Authorized Official - Credentials:HCS
Authorized Official - Phone:832-875-6037
Mailing Address - Street 1:16123 TALONCREST DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-5036
Mailing Address - Country:US
Mailing Address - Phone:832-875-6037
Mailing Address - Fax:
Practice Address - Street 1:16123 TALONCREST DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-5036
Practice Address - Country:US
Practice Address - Phone:832-875-6037
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-25
Last Update Date:2021-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities