Provider Demographics
NPI:1942806401
Name:TRUSTED CARE INHOME SERVICES
Entity Type:Organization
Organization Name:TRUSTED CARE INHOME SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TITILAYO
Authorized Official - Middle Name:
Authorized Official - Last Name:AYENI-SODE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:575-442-6572
Mailing Address - Street 1:23025 AMBER LN
Mailing Address - Street 2:
Mailing Address - City:RICHTON PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60471-1281
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:23025 AMBER LN
Practice Address - Street 2:
Practice Address - City:RICHTON PARK
Practice Address - State:IL
Practice Address - Zip Code:60471-1281
Practice Address - Country:US
Practice Address - Phone:575-442-6572
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-09
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care