Provider Demographics
NPI:1356013064
Name:TRINITY CARE HOMES & TRANSIT SERVICES LLC
Entity Type:Organization
Organization Name:TRINITY CARE HOMES & TRANSIT SERVICES LLC
Other - Org Name:TRINITY CARE HOMES & TRANSIT SERVICES LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALANAH
Authorized Official - Middle Name:MICHELE
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:901-237-6682
Mailing Address - Street 1:7227 HERITAGE OAK DR
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38125-4128
Mailing Address - Country:US
Mailing Address - Phone:901-237-6682
Mailing Address - Fax:
Practice Address - Street 1:7370 COTTON GROVE LN
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-8970
Practice Address - Country:US
Practice Address - Phone:901-237-6682
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-30
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No253Z00000XAgenciesIn Home Supportive Care
No305R00000XManaged Care OrganizationsPreferred Provider Organization
No3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ054706Medicaid