Provider Demographics
NPI:1548209026
Name:TRINITY HOME HEALTH SERVICES
Entity Type:Organization
Organization Name:TRINITY HOME HEALTH SERVICES
Other - Org Name:ST JOSEPH MERCY HOME CARE, CHELSEA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF REVENUE CYCLE
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:KNITTEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-343-6512
Mailing Address - Street 1:1515 COMMERCE PARK DR
Mailing Address - Street 2:
Mailing Address - City:CHELSEA
Mailing Address - State:MI
Mailing Address - Zip Code:48118-1449
Mailing Address - Country:US
Mailing Address - Phone:734-475-4190
Mailing Address - Fax:734-593-5785
Practice Address - Street 1:1515 COMMERCE PARK DR
Practice Address - Street 2:
Practice Address - City:CHELSEA
Practice Address - State:MI
Practice Address - Zip Code:48118-1449
Practice Address - Country:US
Practice Address - Phone:734-475-4190
Practice Address - Fax:734-593-5785
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-06
Last Update Date:2017-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0E110OtherBLUE CROSS BLUE SHIELD
MI3251354Medicaid
MI237249Medicare Oscar/Certification