Provider Demographics
NPI:1578158549
Name:TRUST HOME CARE, LLC
Entity Type:Organization
Organization Name:TRUST HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:WENHUI
Authorized Official - Middle Name:
Authorized Official - Last Name:HUANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-635-7758
Mailing Address - Street 1:10701 MELODY DR STE 418
Mailing Address - Street 2:
Mailing Address - City:NORTHGLENN
Mailing Address - State:CO
Mailing Address - Zip Code:80234-4121
Mailing Address - Country:US
Mailing Address - Phone:720-635-7758
Mailing Address - Fax:
Practice Address - Street 1:10701 MELODY DR STE 418
Practice Address - Street 2:
Practice Address - City:NORTHGLENN
Practice Address - State:CO
Practice Address - Zip Code:80234-4121
Practice Address - Country:US
Practice Address - Phone:720-635-7758
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-02
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO53677811Medicaid