| Trinity Care Llc | |
|
6542 W Junaluska Dr Richmond VA 23225-2220 | |
| (843) 617-0966 | |
| Not Available |
| Full Name | Trinity Care Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 6542 W Junaluska Dr, Richmond, Virginia |
| Authorized Official Name and Position | Ce-drick Haynes (COA) |
| Authorized Official Contact | 8436170966 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Care Llc 6542 W Junaluska Dr Richmond VA 23225-2220 Ph: (843) 617-0966 | Trinity Care Llc 6542 W Junaluska Dr Richmond VA 23225-2220 Ph: (843) 617-0966 |
| NPI Number | 1881044790 |
|---|---|
| Provider Enumeration Date | 06/21/2016 |
| Last Update Date | 01/10/2020 |
| Certification Date | 01/10/2020 |
| Medicare PECOS PAC ID | 4284069725 |
|---|---|
| Medicare Enrollment ID | O20200110001645 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881044790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Reba S James |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659845436 PECOS PAC ID: 5698100139 Enrollment ID: I20200110001866 |
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