Provider Demographics
NPI:1609862499
Name:MEP & FAMILY HEALTHCARE AGENCY , INC.
Entity Type:Organization
Organization Name:MEP & FAMILY HEALTHCARE AGENCY , INC.
Other - Org Name:TRINITY HOME HEALTHCARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:GOODLUCK
Authorized Official - Middle Name:O
Authorized Official - Last Name:PELEBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-542-2486
Mailing Address - Street 1:303 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:COPPERAS COVE
Mailing Address - State:TX
Mailing Address - Zip Code:76522-2237
Mailing Address - Country:US
Mailing Address - Phone:254-542-2486
Mailing Address - Fax:254-547-8828
Practice Address - Street 1:303 S MAIN ST
Practice Address - Street 2:
Practice Address - City:COPPERAS COVE
Practice Address - State:TX
Practice Address - Zip Code:76522-2237
Practice Address - Country:US
Practice Address - Phone:254-542-2486
Practice Address - Fax:254-547-8828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-27
Last Update Date:2014-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679420Medicare ID - Type Unspecified