Provider Demographics
NPI:1265635841
Name:TRINITY HOME HEALTH AGENCY
Entity Type:Organization
Organization Name:TRINITY HOME HEALTH AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER ASST. ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NNAEMEKA
Authorized Official - Middle Name:C
Authorized Official - Last Name:OKEA
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:214-556-7766
Mailing Address - Street 1:5217 VERDE VALLEY LN
Mailing Address - Street 2:STE 1140
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75254-7442
Mailing Address - Country:US
Mailing Address - Phone:214-556-7766
Mailing Address - Fax:972-490-3094
Practice Address - Street 1:5217 VERDE VALLEY LN
Practice Address - Street 2:STE 1140
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75254-7442
Practice Address - Country:US
Practice Address - Phone:214-556-7766
Practice Address - Fax:972-490-3094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health