Provider Demographics
NPI:1336569110
Name:TRINITY II HOME CARE
Entity Type:Organization
Organization Name:TRINITY II HOME CARE
Other - Org Name:HUNTINGDON COMMUNITY SERVICES, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COMPLIANCE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:SMALLS
Authorized Official - Suffix:
Authorized Official - Credentials:MHS
Authorized Official - Phone:267-332-1227
Mailing Address - Street 1:1231 N BROAD ST
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19122-4021
Mailing Address - Country:US
Mailing Address - Phone:267-332-1227
Mailing Address - Fax:
Practice Address - Street 1:1231 N BROAD ST
Practice Address - Street 2:4TH FLOOR
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19122-4021
Practice Address - Country:US
Practice Address - Phone:267-332-1227
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-21
Last Update Date:2014-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA25163601253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care