Provider Demographics
NPI:1194887810
Name:HOLY TRINITY HEALTHCARE SERVICES, INC.
Entity type:Organization
Organization Name:HOLY TRINITY HEALTHCARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SOPHIAPILAR
Authorized Official - Middle Name:A
Authorized Official - Last Name:PAATAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:956-578-9159
Mailing Address - Street 1:902 LEXINGTON CIR
Mailing Address - Street 2:UNIT G
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-3175
Mailing Address - Country:US
Mailing Address - Phone:956-578-9159
Mailing Address - Fax:972-767-1646
Practice Address - Street 1:902 LEXINGTON CIR
Practice Address - Street 2:UNIT G
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-3175
Practice Address - Country:US
Practice Address - Phone:956-578-9159
Practice Address - Fax:972-767-1646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010894251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX010894OtherLICENSE NUMBER