Provider Demographics
NPI:1275158800
Name:FIRST TRINITY CARE LLC
Entity Type:Organization
Organization Name:FIRST TRINITY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NOSA
Authorized Official - Middle Name:
Authorized Official - Last Name:OSAIKHUIWU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-831-0821
Mailing Address - Street 1:24515 FLORA MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77373-5079
Mailing Address - Country:US
Mailing Address - Phone:346-831-0821
Mailing Address - Fax:346-831-0821
Practice Address - Street 1:24515 FLORA MEADOW DR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77373-5079
Practice Address - Country:US
Practice Address - Phone:346-831-0821
Practice Address - Fax:346-831-0821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-09
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health