Provider Demographics
NPI:1730890559
Name:TRINITY REHABILITATION SERVICES LLC
Entity type:Organization
Organization Name:TRINITY REHABILITATION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:TOM
Authorized Official - Middle Name:E
Authorized Official - Last Name:LEONARD
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:740-695-0069
Mailing Address - Street 1:72640 FAIRPOINT NEW ATHENS RD
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIRSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43950-8644
Mailing Address - Country:US
Mailing Address - Phone:740-695-0069
Mailing Address - Fax:866-866-8683
Practice Address - Street 1:72640 FAIRPOINT NEW ATHENS RD
Practice Address - Street 2:
Practice Address - City:SAINT CLAIRSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43950-8644
Practice Address - Country:US
Practice Address - Phone:740-695-0069
Practice Address - Fax:866-866-8683
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-13
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation