Provider Demographics
NPI:1801589866
Name:TRINITY HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:TRINITY HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIELD OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JUDE
Authorized Official - Middle Name:
Authorized Official - Last Name:PAYOUTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-294-3597
Mailing Address - Street 1:6151 MIRAMAR PKWY STE 101
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33023-3970
Mailing Address - Country:US
Mailing Address - Phone:954-986-1754
Mailing Address - Fax:954-986-1757
Practice Address - Street 1:6151 MIRAMAR PKWY STE 101
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33023-3970
Practice Address - Country:US
Practice Address - Phone:954-986-1754
Practice Address - Fax:954-986-1757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-26
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health