Provider Demographics
NPI:1700612256
Name:TRINITY SERVICES NJ
Entity type:Organization
Organization Name:TRINITY SERVICES NJ
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HOMEWATCH
Authorized Official - Middle Name:
Authorized Official - Last Name:CAREGIVERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-808-0463
Mailing Address - Street 1:59 AVENUE AT THE CMN STE 103
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:07702-4559
Mailing Address - Country:US
Mailing Address - Phone:732-808-0463
Mailing Address - Fax:732-808-0464
Practice Address - Street 1:59 AVENUE AT THE CMN STE 103
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:NJ
Practice Address - Zip Code:07702-4559
Practice Address - Country:US
Practice Address - Phone:732-808-0463
Practice Address - Fax:732-808-0463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-11
Last Update Date:2024-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, ChildGroup - Multi-Specialty
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child