TRACES TRINITY LLC NPI 1043766348

NPI Information

  • NPI: 1043766348
  • Provider Name: TRACES TRINITY, LLC
  • Classification: Adult Companion - 372600000X
  • Entity Type: Organization
  • Other Name: TRACES OF TIGER ADULT DAY CARE
  • Address: 92 BETTYS CREEK RD
    DILLARD, GA
    ZIP 30537
  • Phone: (706) 746-6571

Map and Directions

Get Directions

NPI Details

TRACES TRINITY, LLC is an adult companion in Dillard, GA. The provider is an individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. TRACES TRINITY, LLC NPI is 1043766348. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Traces Of Tiger Adult Day Care.

The provider's business location address is:

92 BETTYS CREEK RD
DILLARD, GA
ZIP 30537-257
Phone: (706) 746-6571
Fax: (706) 746-5643

The provider's authorized official is Carlie Suzanne Pennington .
The authorized official title is Sole Mb and has the following contact phone number (706) 746-6571.

The enumeration date for this NPI number is 8/28/2016 and was last updated on 8/28/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1372600000XAdult CompanionYes

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: 11/21/2025

NPI Synchronization or Removal

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.

Previous NPI
Next NPI