Provider Demographics
NPI:1366779936
Name:TRINITY ANGELS HEALTHCARE SERVICES, INC
Entity type:Organization
Organization Name:TRINITY ANGELS HEALTHCARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOBI
Authorized Official - Middle Name:
Authorized Official - Last Name:ABRAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-226-1600
Mailing Address - Street 1:2306 GUTHRIE ROAD SUITE # 260-F
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-5967
Mailing Address - Country:US
Mailing Address - Phone:972-226-1600
Mailing Address - Fax:214-309-9207
Practice Address - Street 1:2306 GUTHRIE ROAD SUITE # 260-F
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-5967
Practice Address - Country:US
Practice Address - Phone:972-226-1600
Practice Address - Fax:214-309-9207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-03
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Single Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001020448OtherPHC/PAS
TX2837460Medicaid
TX001020448OtherPHC/PAS