Provider Demographics
NPI:1568654093
Name:TRINITY HOSPICE OF VIRGINIA, LLC
Entity Type:Organization
Organization Name:TRINITY HOSPICE OF VIRGINIA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:A/R MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:M
Authorized Official - Last Name:GLASSCOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-306-4520
Mailing Address - Street 1:14180 DALLAS PKWY
Mailing Address - Street 2:SUITE 800
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75254-4341
Mailing Address - Country:US
Mailing Address - Phone:214-306-4520
Mailing Address - Fax:214-432-9220
Practice Address - Street 1:8300 BOONE BLVD
Practice Address - Street 2:SUITE 850
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-2626
Practice Address - Country:US
Practice Address - Phone:703-790-3234
Practice Address - Fax:703-790-3631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-17
Last Update Date:2007-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based