Provider Demographics
NPI:1356942809
Name:TRIMED HOME CARE LLC
Entity type:Organization
Organization Name:TRIMED HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:S
Authorized Official - Last Name:GANZY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:215-740-8505
Mailing Address - Street 1:2110 S EAGLE RD STE 349
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1574
Mailing Address - Country:US
Mailing Address - Phone:215-740-8505
Mailing Address - Fax:866-231-9705
Practice Address - Street 1:12 PENNS TRAIL
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-1892
Practice Address - Country:US
Practice Address - Phone:215-740-8505
Practice Address - Fax:866-231-9705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-02
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No251E00000XAgenciesHome HealthGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA49133601OtherHOME CARE LICENSE