Trinity Support Services Llc in High Point - Residential Treatment Facility, Emotionally Disturbed Children

Trinity Support Services Llc - NPI 1477736007

Trinity Support Services Llc is a Residential Treatment Facility, Emotionally Disturbed Children in High Point, North Carolina. Trinity Support Services Llc practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Trinity Support Services Llc is 1477736007. The last update date is 2008-09-15.

Trinity Support Services Llc's current location address is 1717 Gavin Drive, High Point, North Carolina. You can contact this provider via phone number 3368896905 and fax number 3368896905. The mailing address for Trinity Support Services Llc is 1717 Gavin Drive, High Point, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Trinity Support Services Llc
Address 1717 Gavin Drive, High Point, North Carolina
Phone Number 3368896905
Fax Number 3368896905
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PROGRAM DI
Authorized Official Name Salaam Salaam Suzanne
Telephone Number 3364915423

NPI Number Detail

NPI Number 1477736007
Provider Enumeration Date 2007-12-05
Last Updated Date 2008-09-15

Provider Mailing Address Detail

Address 1717 Gavin Drive
City High Point
State North Carolina (NC)
Post Code 272605506
Phone Number 3368896905
Fax Number 3368896905

Provider's Primary Taxonomy Detail

Speciality Residential Treatment Facility, Emotionally Disturbed Children
Taxonomy 322D00000X
Licence No MHL-041-839
Definition:
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
MHL-041-839 NC STATE LICENSE

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FAQs about Trinity Support Services Llc

What is the unique 10-digit identification code issued to Trinity Support Services Llc by the Centers for Medicare & Medicaid Services?

The Trinity Support Services Llc has been assigned the NPI (National Provider Identifier) 1477736007 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Where is the Trinity Support Services Llc located?

The Trinity Support Services Llc is located at 1717 Gavin Drive, High Point, NC 272605506.

What is the Trinity Support Services Llc's specialty and taxonomy code?

The Trinity Support Services Llc's specialty is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy code is 322D00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1477736007 to Trinity Support Services Llc?

The Centers for Medicare & Medicaid Services assigned the 1477736007 to Trinity Support Services Llc on 2007-12-05.

As of what date were the details pertaining to Trinity Support Services Llc last refreshed?

The information related to the Trinity Support Services Llc, including its address, specialty, and other relevant details, was last updated on 2008-09-15.

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