Provider Demographics
NPI:1679465926
Name:TRINITY HOMECARE LLC
Entity type:Organization
Organization Name:TRINITY HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:NATHY
Authorized Official - Middle Name:NGAYAMA
Authorized Official - Last Name:MATALATALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-240-3914
Mailing Address - Street 1:9458 WOODLAND HILLS DR APT 58
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45011-9314
Mailing Address - Country:US
Mailing Address - Phone:513-240-3914
Mailing Address - Fax:
Practice Address - Street 1:9458 WOODLAND HILLS DR APT 58
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45011-9314
Practice Address - Country:US
Practice Address - Phone:513-240-3914
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-18
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No376J00000XNursing Service Related ProvidersHomemaker
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child