Active NPI
Trinity Home Care Services LLC
- Home Health Agency
- Woodbridge, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- TRINITY HOME CARE SERVICES LLC
- Practice address
- 3102 Golansky Blvd Ste 201
Woodbridge, VA 22192-4244 - Phone
- (571) 398-6736
- NPI assigned
- Jun 15, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chikata Khyne-Sam, RN
- Title
- Administrator
- Phone
- (571) 398-6736
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
3102 Golansky Blvd Ste 201
Woodbridge, VA 22192-4244
Mailing address
3102 Golansky Blvd Ste 201
Woodbridge, VA 22192-4244
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770933343 | Medicaid | VA |
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Trinity Home Care Services LLC
- Ownership
- Proprietary
- Certified
- Sep 3, 2020
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).
National Provider Directory
National Provider DirectoryLocations
3102 Golansky Blvd
Ste 201
Woodbridge, VA 22192
Phone (571) 396-6736
12934 Harbor Dr
Ste 108
Woodbridge, VA 22192
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Analyst
- Woodbridge, VA
- NPI 1467176651
-
- Behavior Technician
- Woodbridge, VA
- NPI 1437873650
-
- Behavior Analyst
- Woodbridge, VA
- NPI 1295386803
-
- Behavior Technician
- Woodbridge, VA
- NPI 1841914041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1623888000000",
"number": "1770933343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3102 GOLANSKY BLVD STE 201",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221924244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3102 GOLANSKY BLVD STE 201",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221924244",
"telephone_number": "571-398-6736"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRINITY HOME CARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-15",
"last_updated": "2021-06-17",
"certification_date": "2021-06-17",
"status": "A",
"authorized_official_last_name": "KHYNE-SAM",
"authorized_official_first_name": "CHIKATA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "571-398-6736",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1770933343",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.