Provider Demographics
NPI:1891681326
Name:TRINITY CARES LLC
Entity type:Organization
Organization Name:TRINITY CARES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DANSA
Authorized Official - Middle Name:
Authorized Official - Last Name:JATANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-861-9228
Mailing Address - Street 1:4874 FIR DELL DR SE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97302-4815
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4874 FIR DELL DR SE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97302-4815
Practice Address - Country:US
Practice Address - Phone:206-861-9228
Practice Address - Fax:503-362-8602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities