Provider Demographics
NPI:1407248438
Name:TRINITY HEALTH ENTERPRISES, INC
Entity Type:Organization
Organization Name:TRINITY HEALTH ENTERPRISES, INC
Other - Org Name:TRINITY HOME CARE PRODUCTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:PAUWELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:309-779-5630
Mailing Address - Street 1:106 19TH AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:MOLINE
Mailing Address - State:IL
Mailing Address - Zip Code:61265-3700
Mailing Address - Country:US
Mailing Address - Phone:309-779-4663
Mailing Address - Fax:309-779-5644
Practice Address - Street 1:3426 N PORT DR
Practice Address - Street 2:SUITE 600
Practice Address - City:MUSCATINE
Practice Address - State:IA
Practice Address - Zip Code:52761-2241
Practice Address - Country:US
Practice Address - Phone:563-262-6202
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRINITY REGIONAL HEALTH SYSTEM
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-02-27
Last Update Date:2015-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL605197300OtherDEPT OF LABOR