Provider Demographics
NPI:1336449057
Name:TRUST HEALTHCARE, LLC.
Entity Type:Organization
Organization Name:TRUST HEALTHCARE, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:INIOBONG
Authorized Official - Middle Name:U
Authorized Official - Last Name:NKANTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-793-2528
Mailing Address - Street 1:12010 BENJAMIN ST
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-1167
Mailing Address - Country:US
Mailing Address - Phone:301-793-2528
Mailing Address - Fax:
Practice Address - Street 1:12010 BENJAMIN ST
Practice Address - Street 2:
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-1167
Practice Address - Country:US
Practice Address - Phone:301-793-2528
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-27
Last Update Date:2010-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDHC27-3251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDHC27-3OtherHEALTHCARE HS