Provider Demographics
NPI:1417590563
Name:TRINITY HOME CARE
Entity type:Organization
Organization Name:TRINITY HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:TAMIKA
Authorized Official - Last Name:FENNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-609-1875
Mailing Address - Street 1:618 EUWANEE PL
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23503-5325
Mailing Address - Country:US
Mailing Address - Phone:757-609-1875
Mailing Address - Fax:
Practice Address - Street 1:618 EUWANEE PL
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23503-5325
Practice Address - Country:US
Practice Address - Phone:757-609-1875
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-22
Last Update Date:2019-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care