TRINITY HOME SERVICE LLC NPI 1649648965

NPI Information

NPI: 1649648965
Provider Name: TRINITY HOME SERVICE LLC
Classification: Technician - 3747A0650X
Specialization: Attendant Care Provider
Entity Type: Organization
Address: 2930 OAK TREE LN
LAKELAND, FL
ZIP 33810
Phone: (863) 709-6569

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NPI Details

TRINITY HOME SERVICE LLC is an attendant care provider technician in Lakeland, FL. The provider is an individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. TRINITY HOME SERVICE LLC NPI is 1649648965. The provider is registered as an organization entity type.

The provider's business location address is:

2930 OAK TREE LN
LAKELAND, FL
ZIP 33810-655
Phone: (863) 709-6569

The provider's authorized official is Ilene Shumaker Griffin .
The authorized official title is Owner/operator and has the following contact phone number (863) 709-6569.

The enumeration date for this NPI number is 9/2/2015 and was last updated on 8/5/2025.

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
1	251E00000X	Home Health		010431700	FLORIDA	No
2	253Z00000X	In Home Supportive Care				No
3	3747A0650X	Technician	Attendant Care Provider			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	010431700	MEDICAID	FLORIDA
2	102131600	MEDICAID	FLORIDA
3	105452	OTHER	FLORIDA	CNA

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

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