Provider Demographics
NPI:1649010661
Name:TRINITY HOME HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:TRINITY HOME HEALTH SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PHILBERT
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:MASELE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-419-8612
Mailing Address - Street 1:10560 MAIN ST STE 211
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-7176
Mailing Address - Country:US
Mailing Address - Phone:571-419-8612
Mailing Address - Fax:703-866-8302
Practice Address - Street 1:10560 MAIN ST STE 211
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-7176
Practice Address - Country:US
Practice Address - Phone:571-419-8612
Practice Address - Fax:703-866-8302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-28
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care