Provider Demographics
NPI:1265832174
Name:TRUST HOME CARE
Entity Type:Organization
Organization Name:TRUST HOME CARE
Other - Org Name:GP PROPERTY HOLDING CO
Other - Org Type:Other Name
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:VERNON
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCLINTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-342-6057
Mailing Address - Street 1:7111 DIXIE HWY
Mailing Address - Street 2:SUITE 377
Mailing Address - City:CLARKSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48346-2077
Mailing Address - Country:US
Mailing Address - Phone:248-342-6057
Mailing Address - Fax:
Practice Address - Street 1:7111 DIXIE HWY
Practice Address - Street 2:SUITE 377
Practice Address - City:CLARKSTON
Practice Address - State:MI
Practice Address - Zip Code:48346-2077
Practice Address - Country:US
Practice Address - Phone:248-342-6057
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-27
Last Update Date:2014-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care