TRINITY HOME CARE LLC (NPI# 1992897599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992897599 |
| Entity Type | Organization |
| Organization Name | TRINITY HOME CARE LLC |
| Practice Address |
940 Sw Central Ave Grants Pass OR 97526-2755 |
| Practice Telephone | 5414790874 |
| Practice Fax Number | 5414760933 |
| Mailing Telephone | 5414790874 |
| Mailing Fax Number | 5414760933 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CHARLOTTE ANN EVANS (OWNER/ ACCOUNTS PAYABLE) |
| Authorized Official Telephone | 5414790874 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311Z00000X | Custodial Care Facility | 152142 | OR | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922596923 | Trinity Home Care LLC | In Home Supportive Care | 1608 #b State Highway 264, Tse Bonito, NM 87305 | 2018-04-25 |
| 1811493059 | Trinity Home Care LLC | Home Health | 2242 S Hamilton Rd Ste 202, Columbus, OH 43232-4300 | 2018-04-05 |
| 1043767601 | Trinity Home Care LLC | Non-emergency Medical Transport (VAN) | 45 Hardy Court, Unit 377, Gulfport, MS 39507 | 2016-09-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | TRINITY HOME CARE LLC | 263 Felkner Road, Grants Pass, OR 97527 |
| Street Address |
940 SW CENTRAL AVE |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97526-2755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205476777 | Kyla M Mccormick | Peer Specialist | 109 Nw Manzanita Avenue, Grants Pass, OR 97526 | 2020-01-13 |
| 1164076469 | Alicia Yvonne Hansen | Counselor | 1055 Clarey St., Grants Pass, OR 97526 | 2019-07-25 |
| 1841842598 | Michael Liam Reynolds, Dds, LLC | Dentist | 984 Ne 8th Street, Grants Pass Oregon, Grants Pass, OR 97526 | 2019-07-12 |
| 1881254746 | Brandi Mccrorey | Counselor | 418 Ne 6th Street, Suite 102, Grants Pass, OR 97526 | 2019-06-13 |
| 1700364502 | Premier Community Supports, LLC. | Day Training, Developmentally Disabled Services | 1439 Ne 6th St Ste C, Grants Pass, OR 97526 | 2018-08-02 |
| 1821584509 | Stefani Mcintyre | Massage Therapist | 1590 Se N Street, Warehouse #1574, Grants Pass, OR 97526 | 2018-07-06 |
| 1114467438 | Sandra P Martin | Chiropractor | 333 Sw 5th St. Suite B, Grants Pass, OR 97526 | 2017-03-06 |
| 1801347612 | Maci Wageman | Counselor | 1215 Sw G St Grants Pass Oregon 97526, Grants Pass, OR 97526 | 2016-10-17 |
| 1902353907 | Optimal Health of Southern Oregon, LLC | Family Medicine | 1600 Nw 6th St South Suite, Grants Pass, OR 97526 | 2016-09-07 |
| 1982150793 | Tanya White | Counselor | 402 Nw Fstreet, Grants Pass, OR 97526 | 2016-08-31 |
| Find all providers in zip 97526 | ||||
| Taxonomy Code | 311Z00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
| Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750907317 | Laurel Pines Inc | Custodial Care Facility | 3100 Avenue A, White City, OR 97503-1715 | 2020-06-19 |
| 1093170367 | Brigitte Rocha | Custodial Care Facility | 2841 Friendly St, Eugene, OR 97405-2391 | 2015-12-30 |
| 1508170945 | Gentog, LLC | Custodial Care Facility | 11535 Sw Durham Rd, Suite C5, Tigard, OR 97224-3474 | 2010-07-27 |
| 1437510922 | Oregon Dept. of Corrections | Custodial Care Facility | 2757 22nd St Se, Salem, OR 97302-1553 | 2016-03-11 |
| 1003949496 | Care Centers Management, Inc. | Custodial Care Facility | 637 Ash St, Myrtle Point, OR 97458-1133 | 2007-03-14 |
| City | GRANTS PASS |
| Zip Code | 97526 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.