Provider Demographics
NPI:1720693872
Name:HOLY TRINITY CARE LLC
Entity Type:Organization
Organization Name:HOLY TRINITY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:D
Authorized Official - Last Name:ASAMOAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-340-5883
Mailing Address - Street 1:3324 MORSE RD STE H
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-9216
Mailing Address - Country:US
Mailing Address - Phone:585-355-1113
Mailing Address - Fax:
Practice Address - Street 1:3324 MORSE RD STE H
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-9216
Practice Address - Country:US
Practice Address - Phone:585-355-1113
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-14
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health