Provider Demographics
NPI:1336295492
Name:TRINITY IN-HOME CARE
Entity Type:Organization
Organization Name:TRINITY IN-HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:LBSW
Authorized Official - Phone:785-842-3159
Mailing Address - Street 1:2201 W 25TH ST
Mailing Address - Street 2:SUITE Q
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66047-2958
Mailing Address - Country:US
Mailing Address - Phone:785-842-3159
Mailing Address - Fax:785-842-7061
Practice Address - Street 1:2201 W 25TH ST
Practice Address - Street 2:SUITE Q
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66047-2958
Practice Address - Country:US
Practice Address - Phone:785-842-3159
Practice Address - Fax:785-842-7061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSA023008251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health