Provider Demographics
NPI:1508134909
Name:TRINBRES FAMILY HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:TRINBRES FAMILY HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CNA/HOMEHEALTH AIDE
Authorized Official - Prefix:MS
Authorized Official - First Name:CHARLOTTE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:COTTON
Authorized Official - Suffix:
Authorized Official - Credentials:CERTIFIED NURSE AIDE
Authorized Official - Phone:404-784-4349
Mailing Address - Street 1:11907 QUAIL RD
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:GA
Mailing Address - Zip Code:30228-6292
Mailing Address - Country:US
Mailing Address - Phone:404-784-4349
Mailing Address - Fax:
Practice Address - Street 1:11907 QUAIL RD.
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:GA
Practice Address - Zip Code:30228
Practice Address - Country:US
Practice Address - Phone:404-784-4349
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-13
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACN0028899410314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility