# TRIDENT HEALTH CARE GROUP

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

## Provider details

- **NPI number:** 1831918069
- **Authorized official:** LAKEYAH MONIQUE STARKS CNA/MA (CARGIVER)
- **Authorized official phone:** (313) 929-9747

## Contact information

- **Practice address:** 1100 US HIGHWAY 27 UNIT 137642, CLERMONT, FL 34713-4107
- **Practice address phone:** (539) 235-6684
- **Mailing address:** PO BOX 137642, CLERMONT, FL 34713-7642
- **Mailing address phone:** (313) 926-9747

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174200000X | Meals Provider | — | NULL | — |
| 251G00000X | Community Based Hospice Care Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 376K00000X | Nurse's Aide | — | NULL | Yes |
| 376K00000X | Nurse's Aide | — | — | Yes |
| 385H00000X | Respite Care | — | NULL | — |
| 385HR2065X | Child Physical Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 10/04/2024
- **Last updated:** 10/04/2024