Organization
TRINITY HOME SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ILENE SHUMAKER GRIFFIN (OWNER/OPERATOR)
(863) 709-6569
Entity
Organization
Contact information
Practice address
2930 OAK TREE LN, LAKELAND, FL 33810-2655
(863) 709-6569
Mailing address
2930 OAK TREE LN, LAKELAND, FL 33810-2655
(863) 709-6569
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
010431700
FL
253Z00000X
In Home Supportive Care Agency
—
—
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010431700
—
FL
05
—
102131600
—
FL
01
—
105452
CNA
FL
Enumeration date
09/02/2015
Last updated
08/05/2025
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