Provider Demographics
NPI:1811493059
Name:TRINITY HOME CARE LLC
Entity type:Organization
Organization Name:TRINITY HOME CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:OPPONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-256-9209
Mailing Address - Street 1:1018 MARIETTA ST
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-4433
Mailing Address - Country:US
Mailing Address - Phone:614-577-0766
Mailing Address - Fax:614-577-0767
Practice Address - Street 1:2242 S HAMILTON RD STE 202
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-4300
Practice Address - Country:US
Practice Address - Phone:614-577-0766
Practice Address - Fax:614-577-0767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-05
Last Update Date:2018-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health