Provider Demographics
NPI:1689141228
Name:TRINITY HEALTH SOLUTIONS LLC
Entity Type:Organization
Organization Name:TRINITY HEALTH SOLUTIONS LLC
Other - Org Name:TRINITY HEALTH CARE SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ELYSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:IWUEKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-530-5003
Mailing Address - Street 1:3869 COUNTY ROAD 161
Mailing Address - Street 2:
Mailing Address - City:WHARTON
Mailing Address - State:TX
Mailing Address - Zip Code:77488-5396
Mailing Address - Country:US
Mailing Address - Phone:713-730-5003
Mailing Address - Fax:281-476-6401
Practice Address - Street 1:3869 COUNTY ROAD 161
Practice Address - Street 2:
Practice Address - City:WHARTON
Practice Address - State:TX
Practice Address - Zip Code:77488-5396
Practice Address - Country:US
Practice Address - Phone:713-530-5003
Practice Address - Fax:281-476-6401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-01
Last Update Date:2020-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX405344901Medicaid