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Organization
TRINITYCARE LLC
Active
Organization
TRINITYCARE LLC
Active
Parent organization
TRINITYCARE, LLC
Other names
TrinityCare Extended Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRINITYCARE, LLC
Authorized official
MRS. DEBORAH ROGERS RN, BSN, PHN (ADMINISTRATOR/DPCS)
(323) 981-4488
Entity
Organization
Contact information
Practice address
1000 CORPORATE CENTER DRIVE, SUITE 110, MONTEREY PARK, CA 91754-9906
(323) 981-4488
(323) 981-4499
Mailing address
1000 CORPORATE CENTER DRIVE, SUITE 110, MONTEREY PARK, CA 91754-9906
(323) 981-4488
(323) 981-4499
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
980000632
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H17944
HARBOR REG - NRIDGE LOC
—
01
—
H67070
HARBOR REG - CERRITOS LOC
—
05
—
HHA07656H
—
CA
05
—
ZZT07129H
—
CA
Enumeration date
03/15/2007
Last updated
10/25/2016
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