Provider Demographics
NPI:1992002158
Name:TRINITY HEALTHCARE OF NORTH CAROLINA
Entity Type:Organization
Organization Name:TRINITY HEALTHCARE OF NORTH CAROLINA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DESMOND
Authorized Official - Middle Name:C
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-364-8966
Mailing Address - Street 1:401 W 1ST ST
Mailing Address - Street 2:STE 1H
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-1905
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:401 W 1ST ST
Practice Address - Street 2:STE 1H
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-1905
Practice Address - Country:US
Practice Address - Phone:252-364-8966
Practice Address - Fax:252-364-8967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-23
Last Update Date:2011-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC4323251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health