Provider Demographics
NPI:1992453682
Name:TRINITY CARE GROUP INC
Entity type:Organization
Organization Name:TRINITY CARE GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:UZOAMAKA
Authorized Official - Middle Name:B
Authorized Official - Last Name:UWAEGBUTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-985-6243
Mailing Address - Street 1:1005 MARSHANE RD
Mailing Address - Street 2:
Mailing Address - City:REISTERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21136-5861
Mailing Address - Country:US
Mailing Address - Phone:443-985-6243
Mailing Address - Fax:
Practice Address - Street 1:1005 MARSHANE RD
Practice Address - Street 2:
Practice Address - City:REISTERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21136-5861
Practice Address - Country:US
Practice Address - Phone:443-985-6243
Practice Address - Fax:410-581-1250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-12
Last Update Date:2022-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDD21785191OtherSDAT