Provider Demographics
NPI:1992011837
Name:TRINITYCARE, LLC.
Entity Type:Organization
Organization Name:TRINITYCARE, LLC.
Other - Org Name:MILES INSTALLATIONS AND CONSULTING
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:MILES
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:336-602-9640
Mailing Address - Street 1:2301 W MEADOWVIEW RD
Mailing Address - Street 2:#204
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-3723
Mailing Address - Country:US
Mailing Address - Phone:336-506-6066
Mailing Address - Fax:336-506-6066
Practice Address - Street 1:2301 W MEADOWVIEW RD
Practice Address - Street 2:#204
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-3723
Practice Address - Country:US
Practice Address - Phone:336-506-6066
Practice Address - Fax:336-506-6066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-30
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8330251J00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251J00000XAgenciesNursing Care