Provider Demographics
NPI:1477859353
Name:BCS TRINITY HOME & HEALTH CARE OF TEXAS LLC
Entity Type:Organization
Organization Name:BCS TRINITY HOME & HEALTH CARE OF TEXAS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO/CNO
Authorized Official - Prefix:MRS
Authorized Official - First Name:URSULA
Authorized Official - Middle Name:NICHOLE
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:979-778-7500
Mailing Address - Street 1:3281 STAMPEDE DR
Mailing Address - Street 2:
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77808-7576
Mailing Address - Country:US
Mailing Address - Phone:979-778-7500
Mailing Address - Fax:
Practice Address - Street 1:3281 STAMPEDE DR
Practice Address - Street 2:
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77808-7576
Practice Address - Country:US
Practice Address - Phone:979-778-7500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-10
Last Update Date:2011-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC168221163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministratorGroup - Single Specialty