Provider Demographics
NPI:1386184836
Name:TRINITY FAITH HOME HEALTH CARE
Entity Type:Organization
Organization Name:TRINITY FAITH HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLISIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-743-6474
Mailing Address - Street 1:1515 N WARSON RD STE 104
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63132-1116
Mailing Address - Country:US
Mailing Address - Phone:314-743-6474
Mailing Address - Fax:314-228-0451
Practice Address - Street 1:1515 N WARSON RD STE 104
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63132-1116
Practice Address - Country:US
Practice Address - Phone:314-743-6474
Practice Address - Fax:314-228-0451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-02
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care