Provider Demographics
NPI:1184102907
Name:TRINITY FIRST HOME CARE LLC
Entity type:Organization
Organization Name:TRINITY FIRST HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KATRINA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:BATTLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-978-6233
Mailing Address - Street 1:1727 SOUTHERN OAK LOOP
Mailing Address - Street 2:
Mailing Address - City:MINNEOLA
Mailing Address - State:FL
Mailing Address - Zip Code:34715-5705
Mailing Address - Country:US
Mailing Address - Phone:352-978-6233
Mailing Address - Fax:
Practice Address - Street 1:1727 SOUTHERN OAK LOOP
Practice Address - Street 2:
Practice Address - City:MINNEOLA
Practice Address - State:FL
Practice Address - Zip Code:34715-5705
Practice Address - Country:US
Practice Address - Phone:352-978-6233
Practice Address - Fax:352-708-4497
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-02
Last Update Date:2018-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL385HR2065X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child