Provider Demographics
NPI:1922556851
Name:TRINITY CARE SERVICES
Entity Type:Organization
Organization Name:TRINITY CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THEOPISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:AMIMO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-345-3115
Mailing Address - Street 1:4040 BLACKBURN LN
Mailing Address - Street 2:140
Mailing Address - City:BURTONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20866-6136
Mailing Address - Country:US
Mailing Address - Phone:240-345-3115
Mailing Address - Fax:
Practice Address - Street 1:4040 BLACKBURN LN
Practice Address - Street 2:140
Practice Address - City:BURTONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20866-6136
Practice Address - Country:US
Practice Address - Phone:240-345-3115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-20
Last Update Date:2016-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR3961P251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health