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TRINITY HOME HEALTH SERVICES NPI 1750478293


NPI Information

NPI: 1750478293
Provider Name: TRINITY HOME HEALTH SERVICES

Doing Business As: SAINT AGNES HOME HEALTH AND HOSPICE, LLC

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 05D1075087

Address:
6729 N WILLOW AVE
STE 103
FRESNO, CA
ZIP 93710
Phone: (559) 450-5600
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TRINITY HOME HEALTH SERVICES is a hospice care community based in Fresno, CA. TRINITY HOME HEALTH SERVICES NPI is 1750478293. The provider is registered as an organization entity type.
The provider Is Doing Business As Saint Agnes Home Health And Hospice, Llc.

The provider's business location address is:

6729 N WILLOW AVE
STE 103
FRESNO, CA
ZIP 93710-952
Phone: (559) 450-5600
Fax: (559) 450-5160

The provider's authorized official is Marcus Bowens .
The authorized official title is Cfo and has the following contact phone number (770) 283-4006.

The CLIA number assigned to this NPI record is 05D1075087 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/6/2006 and was last updated on 4/22/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251G00000XHospice Care, Community Based030000747CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1HPC01538FMEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.