Provider Demographics
NPI:1104093830
Name:TRINITY HOME HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:TRINITY HOME HEALTH SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:VALBUENA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:305-888-8902
Mailing Address - Street 1:3450 W 84TH ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33018-4924
Mailing Address - Country:US
Mailing Address - Phone:305-888-8902
Mailing Address - Fax:305-888-8903
Practice Address - Street 1:3450 W 84TH ST
Practice Address - Street 2:SUITE 103
Practice Address - City:HIALEAH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33018-4924
Practice Address - Country:US
Practice Address - Phone:305-888-8902
Practice Address - Fax:305-888-8903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-12
Last Update Date:2012-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
FL299993264332B00000X, 251B00000X, 251F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion
No251E00000XAgenciesHome Health
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No251B00000XAgenciesCase Management