Provider Demographics
NPI:1710643648
Name:TRINE HOSPICE CARE LLC
Entity type:Organization
Organization Name:TRINE HOSPICE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:YUTEC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-232-6843
Mailing Address - Street 1:6550 S PECOS RD STE 118
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-2829
Mailing Address - Country:US
Mailing Address - Phone:626-233-2148
Mailing Address - Fax:
Practice Address - Street 1:6550 S PECOS RD STE 118
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-2829
Practice Address - Country:US
Practice Address - Phone:626-233-2148
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-15
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251G00000XAgenciesHospice Care, Community Based
No163WH1000XNursing Service ProvidersRegistered NurseHospiceGroup - Single Specialty