# TRINITY HOME CARE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043767601
- **Authorized official:** MR. ANDREA BROUSSARD (CFO)
- **Authorized official phone:** (228) 325-1050

## Contact information

- **Practice address:** 45 HARDY COURT, UNIT 377, GULFPORT, MS 39507
- **Practice address phone:** (228) 325-1050
- **Mailing address:** 45 HARDY COURT, UNIT 377, GULFPORT, MS 39507

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |
| 347C00000X | Private Vehicle | — | NULL | — |
| 347E00000X | Transportation Broker | — | NULL | Yes |

## Other

- **Enumeration date:** 09/01/2016
- **Last updated:** 12/27/2016