TRINITY HOME CARE SERVICES LLC - NPI 1073182762 - Behavior Analyst in Woodbridge, VA

Q: What is Trinity Home Care Services LLC's NPI number?

The NPI number for Trinity Home Care Services LLC is 1073182762. It was assigned to this organization in the NPPES registry on June 17, 2021.

Q: What is Trinity Home Care Services LLC's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

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About Trinity Home Care Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRINITY HOME CARE SERVICES LLC (NPI 1073182762) is a healthcare organization registered as a behavior analyst in Woodbridge, Virginia and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through March 20, 2027 and lists Chikata Khyne-sam, Owner, as its authorized official.

NPPES Registry Identity

NPI1073182762

Entity TypeOrganization

Primary Taxonomy103K00000X

Legal Business NameTRINITY HOME CARE SERVICES LLC

Location Address3102 GOLANSKY BLVD STE 201Woodbridge, VA 22192-4244

Mailing Address3102 Golansky Blvd Ste 201Woodbridge, VA 22192-4244 · (571) 398-6736 · Fax (703) 436-9434

Phone(571) 398-6736

Organization SubpartNo

Authorized OfficialChikata Khyne-samOwner · (571) 398-6736

Enumeration DateJune 17, 2021

NPPES CertifiedJune 17, 2021

✔ NPI 1073182762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Also ListedBehavior TechnicianTaxonomy 106S00000X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

3102 GOLANSKY BLVD STE 201, Woodbridge, VA 22192

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2163822

Trinity Home Care Services LLC · Woodbridge, VA

Active · expires Mar 20, 2027

CLIA Number49D2163822

Laboratory TypeHome Health Agency

Certificate Effective DateMarch 21, 2025

Certificate Expiration DateMarch 20, 2027

Laboratory DirectorChikata Khyne-Sam

Laboratory Phone(571) 398-6736

Laboratory LocationTrinity Home Care Services LLC3102 Golansky Blvd Suite 201, Woodbridge, VA 22192

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAMARIS LYDIA ROPER

Behavior Analyst