Provider Demographics
NPI:1770998940
Name:TRINITY HEALTH SERVICES
Entity type:Organization
Organization Name:TRINITY HEALTH SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:TAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-442-8610
Mailing Address - Street 1:1419 N SAN FERNANDO BLVD STE 230
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91504-4100
Mailing Address - Country:US
Mailing Address - Phone:818-422-8610
Mailing Address - Fax:
Practice Address - Street 1:1419 N SAN FERNANDO BLVD STE 230
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91504-4100
Practice Address - Country:US
Practice Address - Phone:818-422-8610
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-26
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based