Provider Demographics
NPI:1790323871
Name:TRINITY CARE SERVICES LLC
Entity Type:Organization
Organization Name:TRINITY CARE SERVICES LLC
Other - Org Name:TRINITY CARE SERVICES LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARVINA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE
Authorized Official - Phone:480-235-1297
Mailing Address - Street 1:PO BOX 1517
Mailing Address - Street 2:
Mailing Address - City:LITCHFIELD PARK
Mailing Address - State:AZ
Mailing Address - Zip Code:85340-1517
Mailing Address - Country:US
Mailing Address - Phone:480-235-1297
Mailing Address - Fax:
Practice Address - Street 1:7012 N 56TH AVE
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85301-2516
Practice Address - Country:US
Practice Address - Phone:602-877-3931
Practice Address - Fax:602-766-3931
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-19
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health