Provider Demographics
NPI:1063102416
Name:MOFIAMORE TRINITY CARE INC
Entity type:Organization
Organization Name:MOFIAMORE TRINITY CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OLUBUNMI
Authorized Official - Middle Name:
Authorized Official - Last Name:ARIWAJOYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-343-6593
Mailing Address - Street 1:101 S MORRISON ST
Mailing Address - Street 2:
Mailing Address - City:RAYMORE
Mailing Address - State:MO
Mailing Address - Zip Code:64083-9742
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:101 S MORRISON ST
Practice Address - Street 2:
Practice Address - City:RAYMORE
Practice Address - State:MO
Practice Address - Zip Code:64083-9742
Practice Address - Country:US
Practice Address - Phone:913-343-6593
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRINITY CARE INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-05-09
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health