Provider Demographics
NPI:1639343486
Name:TRINITY HOMECARE SERVICES, INCORPORATED
Entity Type:Organization
Organization Name:TRINITY HOMECARE SERVICES, INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:J.A. NICKOLAS
Authorized Official - Middle Name:R
Authorized Official - Last Name:LACSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-526-5857
Mailing Address - Street 1:211 EAST IMPERIAL HWY
Mailing Address - Street 2:SUITE # 204
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92835-1047
Mailing Address - Country:US
Mailing Address - Phone:714-526-5857
Mailing Address - Fax:714-526-5858
Practice Address - Street 1:211 EAST IMPERIAL HWY
Practice Address - Street 2:SUITE # 204
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92835-1047
Practice Address - Country:US
Practice Address - Phone:714-526-5857
Practice Address - Fax:714-526-5858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-14
Last Update Date:2009-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health