Provider Demographics
NPI:1548591829
Name:TRINITY SENIOR IN HOME HEALTH CARE
Entity type:Organization
Organization Name:TRINITY SENIOR IN HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:EVELYN
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-245-1212
Mailing Address - Street 1:1797 HILLSBORO RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:ORANGEBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29115-3395
Mailing Address - Country:US
Mailing Address - Phone:803-245-1212
Mailing Address - Fax:
Practice Address - Street 1:1797 HILLSBORO RD
Practice Address - Street 2:SUITE 4
Practice Address - City:ORANGEBURG
Practice Address - State:SC
Practice Address - Zip Code:29115-3395
Practice Address - Country:US
Practice Address - Phone:803-245-1212
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-26
Last Update Date:2010-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251B00000XAgenciesCase Management