Provider Demographics
NPI:1417090705
Name:TRINITY HOME HEALTH CARE
Entity Type:Organization
Organization Name:TRINITY HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-861-0306
Mailing Address - Street 1:1124 HOMER RD STE I
Mailing Address - Street 2:
Mailing Address - City:MINDEN
Mailing Address - State:LA
Mailing Address - Zip Code:71055-3028
Mailing Address - Country:US
Mailing Address - Phone:318-861-0306
Mailing Address - Fax:318-429-8000
Practice Address - Street 1:1124 HOMER RD STE I
Practice Address - Street 2:
Practice Address - City:MINDEN
Practice Address - State:LA
Practice Address - Zip Code:71055-3028
Practice Address - Country:US
Practice Address - Phone:318-861-0306
Practice Address - Fax:318-429-8000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA469251E00000X
LA1127251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1403512Medicaid
LAHH0001399OtherSTATE ID
LA1403512Medicaid