Provider Demographics
NPI:1023428141
Name:TRINITY NATIONAL HEALTHCARE, L.L.C.
Entity type:Organization
Organization Name:TRINITY NATIONAL HEALTHCARE, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KURTIS
Authorized Official - Middle Name:
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:843-815-7200
Mailing Address - Street 1:PO BOX 784
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29910-0784
Mailing Address - Country:US
Mailing Address - Phone:843-815-7200
Mailing Address - Fax:843-815-7209
Practice Address - Street 1:333 BUCK ISLAND RD
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910-5935
Practice Address - Country:US
Practice Address - Phone:843-815-7200
Practice Address - Fax:843-815-7209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-28
Last Update Date:2014-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care