Provider Demographics
NPI:1487251054
Name:TRINITY CARE CIRCLE, LLC
Entity type:Organization
Organization Name:TRINITY CARE CIRCLE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PETRINA
Authorized Official - Middle Name:J
Authorized Official - Last Name:BEUGRE
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:925-394-8867
Mailing Address - Street 1:1110 AUDACE AVE
Mailing Address - Street 2:UNIT NBR 303
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426
Mailing Address - Country:US
Mailing Address - Phone:800-341-0119
Mailing Address - Fax:
Practice Address - Street 1:1110 AUDACE AVE,
Practice Address - Street 2:UNIT NBR 303
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-3342
Practice Address - Country:US
Practice Address - Phone:800-341-0119
Practice Address - Fax:561-423-2393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-06
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No251J00000XAgenciesNursing Care
No251S00000XAgenciesCommunity/Behavioral Health
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care