Provider Demographics
NPI:1700112430
Name:TRINITY ROSE HOME HEALTHCARE, INC.
Entity Type:Organization
Organization Name:TRINITY ROSE HOME HEALTHCARE, INC.
Other - Org Name:TRINITY ROSE HOME HEALTHCARE, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DON/ATT. ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:SOPHIA
Authorized Official - Last Name:MANASSAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-289-3631
Mailing Address - Street 1:5309 SHADOW TRL
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-3148
Mailing Address - Country:US
Mailing Address - Phone:214-289-3631
Mailing Address - Fax:972-698-8855
Practice Address - Street 1:5309 SHADOW TRL
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-3148
Practice Address - Country:US
Practice Address - Phone:214-289-3631
Practice Address - Fax:972-698-8855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-31
Last Update Date:2009-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health