Provider Demographics
NPI:1013249648
Name:CARE TRINITY OF TEXAS, INC
Entity Type:Organization
Organization Name:CARE TRINITY OF TEXAS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:EDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:HENDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-368-0951
Mailing Address - Street 1:2755 CARPENTER RD
Mailing Address - Street 2:SUITE 3NW
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-1186
Mailing Address - Country:US
Mailing Address - Phone:734-368-0951
Mailing Address - Fax:
Practice Address - Street 1:3708 W DAVIS ST
Practice Address - Street 2:SUITE B
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-1865
Practice Address - Country:US
Practice Address - Phone:734-368-0951
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-08
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health