Provider Demographics
NPI:1013525518
Name:TRINITY HOUSE CALL ASSOCIATE INC
Entity Type:Organization
Organization Name:TRINITY HOUSE CALL ASSOCIATE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELEASE
Authorized Official - Middle Name:E
Authorized Official - Last Name:CONEY
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE PRACTITIONER
Authorized Official - Phone:856-906-8939
Mailing Address - Street 1:70 COLTS NECK DR
Mailing Address - Street 2:
Mailing Address - City:SICKLERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08081-5610
Mailing Address - Country:US
Mailing Address - Phone:856-906-8939
Mailing Address - Fax:
Practice Address - Street 1:1930 MARLTON PIKE E STE A1
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-2142
Practice Address - Country:US
Practice Address - Phone:856-906-8939
Practice Address - Fax:856-272-7496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-21
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty