Yá'át'ééh · Navajo-owned · Serving the Navajo Nation

Home care worthy of your mother.

Trinity is a Navajo-owned home care and medical transport agency. Our caregivers come from your own community and care in Diné or English, for elders and adults with disabilities across the Nation.

Get care for a loved one Join our care team

ALTCS provider AHCCCS Provider Type 40 · ID 369284 Every visit electronically verified Serving families since 2018

Trinity team member in front of the Trinity Home Care and Transport office in Tse Bonito

For familiesI need care for a loved one

See what ALTCS covers, how to qualify, and how fast care can start.

Get started → For ALTCS case managersI am referring a member

Our written promise on start of care, callbacks, and documentation.

See the promise → For caregiversI want to work in care

Paid training, steady schedules, and members close to home.

Join Trinity →

What we do

Care at home, and a safe ride when you need one.

Every service is delivered under your ALTCS plan of care, matched to what you and your case manager decide together.

Attendant Care

Hands-on help with daily living: bathing, dressing, meals, mobility, and steady company through the day.

Covered by ALTCS

Personal Care

Respectful help with personal hygiene and grooming, given privately and the way you prefer it.

Covered by ALTCS

Homemaker

Light housekeeping, laundry, and meal preparation that keep an elder's home safe, warm, and their own.

Covered by ALTCS

Respite

Trusted relief for family caregivers, so you can rest, work, or travel knowing your loved one is in good hands.

Covered by ALTCS

Stretcher Transport

Bed-to-home stretcher transport for hospital discharges and long-distance trips, Phoenix and Flagstaff included. Booked in advance, case by case.

NEMT · Advance scheduling

Our story

Trinity began with my mother.

Dr. SueAnn Manuelito in her doctoral graduation regalia, embracing her mother — **Meet our founder.** Dr. SueAnn Manuelito holds a Doctorate of Education, the highest degree in her field, alongside a master’s in social work. Pictured with her mother, shimá, on the day of her doctoral hooding, she built Trinity to pair doctoral-level leadership with the community care her mother deserved.

On the Navajo Nation, our elders are our pillars, the sacred foundation of our homes, and the home is a place that deserves the highest respect. When my mother began to need help, we expected her care to reflect that.

Instead, we went through agency after agency, hoping for a caregiver who would be dependable and kind. Watching her feel unsupported in her own home was heartbreaking, and it is an experience I never want another family to endure. After she passed, I realized that if the care she deserved did not exist, I had to build it.

We are not just filling a gap in care. We are honoring the people who built everything we come from.

SueAnn Manuelito Founder and Owner

How we operate

The Shimá Standard.

Shimá means "my mother." Trinity exists because of one.

So every caregiver we hire, every schedule we build, and every report we file has to pass a single test: is this good enough for our own mothers? That is not a slogan. It is a checklist we run every day.

Screened three ways, then trained

State, federal, AND Navajo Nation background checks on every caregiver, because tribal court records do not always show up in state checks. Then registry checks, training, and testing to AHCCCS standards. Employees, never anonymous contractors.

Care in the language of home

Diné or English, always your choice, from caregivers of your own community who know the roads and the way things are done.

A supervisor who shows up

A named field supervisor visits your home in person on a set schedule, not just a phone call.

Proof, not promises

Caregivers clock in and out electronically at your door, so the hours on paper are the hours at your home.

Winter is planned for

Mud, snow, and dirt roads are part of life here. We plan around them so care does not stop when the weather turns.

A real person answers

One office line, live-answered Monday to Friday, with a clear answer about your loved one's care.

Navajo-ownedOn the Nation since 2018

ALTCS providerAHCCCS Provider Type 40 · ID 369284

EVV verifiedElectronic proof of every visit

Diné + EnglishCare in the language of home

Rooted in the Nation

Here for the long term. 25 years, in writing.

In March 2024, the Navajo Nation Division of Economic Development approved a 25-year business site lease for Trinity at our Tse Bonito office, signed with President Buu Nygren at Window Rock. When you choose Trinity, you are choosing a Navajo-owned agency that is built here, licensed here, and staying here.

“Congratulations to the both of you. You are a true example of the hard work and love for your people.” - Navajo Nation President Dr. Buu Nygren, at the lease signing

Dr. SueAnn Manuelito and her husband Arthur Manuelito seated with President Buu Nygren and staff at the business site lease signing in the Office of the President, Window Rock — Founder Dr. SueAnn Manuelito and her husband, Arthur Manuelito, with President Buu Nygren at the business site lease signing, Office of the President, Window Rock.

Dr. SueAnn and Arthur Manuelito seated at the conference table in the Office of the President — Sharing Trinity’s story at the President’s conference table.

Getting started

Three steps to care at home.

See if you qualify for ALTCS

The Arizona Long Term Care System pays for in-home care. Apply online through Health-e-Arizona Plus, or call ALTCS at 1-888-621-6880 (fax 1-888-507-3313).

Choose Trinity as your provider

Once approved, tell your ALTCS case manager you choose Trinity Home Care & Transport. The choice of provider is always yours.

Begin your care

We meet you at home, match you with the right caregiver, and start services on the schedule in your care plan.

Not sure where to start? Call us at (505) 371-5808 and we will walk you through the ALTCS process step by step, no charge and no pressure. Helpful guides: how to apply in HEAplus · ALTCS application forms.

For ALTCS case managers

The Trinity promise to case managers.

You refer members to the agency that makes your job easier and never leaves you guessing. Here is what we commit to, in writing, for every member you place with us.

Start of care within 5 business days

From authorization. If anything threatens that timeline, we call you on day one and tell you why.

Same-business-day callbacks

Every call returned the same business day, every time.

You hear it from us first

If a visit is ever missed, you learn it from Trinity with the fix in hand, never from the family.

One named supervisor per member

A field supervisor who knows the member, backed by a live-answered office line.

Documentation on request

Home visit monitoring summaries and EVV-verified service records, routed to you when required or whenever you ask.

Dependable rural delivery

Caregivers who know the roads, and planning that keeps care going through hard winters.

For IHS and hospital discharge desks: one referral closes both gaps.

Discharging a member back to the Nation means solving two problems at once: a safe, often stretcher-capable trip home from a Phoenix or Flagstaff facility, and dependable in-home care already scheduled when they arrive. Trinity runs both lines under one roof, so a single referral closes the whole loop and your member is never discharged into a gap.

The ride home

Long-distance transport from Phoenix and Flagstaff facilities back to the Nation, round trip, including a dedicated stretcher van for bed-to-home discharges, the capacity discharge desks struggle hardest to find. Our drivers know the dirt-road last mile to the homesite, not just the interstate. Tell us the discharge window and the equipment needs, including oxygen, and we coordinate scheduling around the member's authorization so the bed is not held waiting on logistics. Transport runs are scheduled in advance, and we only commit to trips we can staff: if we cannot take one, you hear it on the first call, not on discharge day.

The care that starts after it

Attendant care (S5125), personal care (T1019), and homemaker services (S5130) under Tribal ALTCS fee-for-service, delivered by caregivers from the member's own community in Diné or English, backed by the written promise above.

Refer in one step. Fax the referral face sheet to (505) 371-5363, or call (505) 371-5808 and ask for intake. Please include:

Member name and AHCCCS ID
Discharge date, time window, and facility
Transport needs: stretcher, wheelchair, oxygen, or escort
Authorizing contact and callback number

We confirm receipt the same business day. Members always choose their own providers, and Trinity offers no gifts or incentives for referrals, to anyone, ever.

Refer a member (505) 371-5808 Fax (505) 371-5363 info@trinityhomecaretransport.com AHCCCS Provider Type 40 · ID 369284 · Tribal ALTCS FFS

Trinity office team member welcoming visitors at the front desk

The people behind the care

Great care starts with great people.

From welcoming visitors and supporting caregivers in the field to coordinating services for members, our office team keeps Trinity running smoothly every day. When you call, a real person answers, and when you stop by the office on Highway 264, the coffee is usually on.

We share staff spotlights, hiring news, and community updates on Facebook. Come say yá'át'ééh.

Follow Trinity on Facebook

Careers · Now hiring direct care workers

Care for your own community.

We are always hiring Direct Care Workers across the Nation, from the chapters we serve. If you are dependable and kind, we will teach you the rest, and hold you to the Shimá Standard. Office, supervisor, and driver roles open from time to time; send your info anyway and we will keep your application on file.

$17.50Today, day one

$18.00When Trinity reaches 57 members

$18.50When Trinity reaches 66 members

The Roster Bonus: automatic raises the whole team earns together. Current roster: 43 members and growing.

Cash out earned hours before payday through Paychex on-demand pay
Paid, in-house Level I and Level II training and testing
CPR and First Aid certification classes
Steady schedules and members close to home
Supervisors who support you in the field, not just from a desk
Diné speakers especially valued
Family caregivers welcome, we will walk you through the AHCCCS rules

Apply in two minutes.

Your info goes straight to our hiring team. We call every applicant back, usually within one business day.

Download the Direct Care Worker application (PDF)

For regular caregiving on a steady weekly schedule - attendant care, personal care, homemaker, and transport. Most applicants want this one.

Download the Respite Care Worker application (PDF)

For relief shifts that give a family caregiver a scheduled break - often evenings, weekends, or full days. Best if you want flexible, on-call work instead of a set weekly schedule.

Not sure which one fits? Use the Direct Care Worker application - it covers respite too, and we will sort out the details with you. Print it, fill it out, and bring it to the office on Highway 264, or call (505) 371-5808. We handle your screening and paid training and keep you posted at every step.

For caregivers in the back country

The Zero-Signal Promise: no bars, no lost hours.

Half the homesites we serve have no cell service, and at most agencies that becomes the caregiver's problem: punches that never upload, hours that vanish, paychecks that come up short. At Trinity it works like this. Your app records your clock-in and clock-out offline and uploads them the moment you are back in signal. And when even that is not possible, your paper backup catches every hour: the TS-PT40 daily timesheet, signed by you and your member at the home, with each task matched to the same codes in the care plan, 101 for a shower, 502 for light housekeeping. Our billing supervisor checks every paper sheet against the schedule and the care plan before anything goes out, so your documented hours hold up every time.

If you care for your own mother, father, or spouse at a homesite off the grid, this system was built for exactly you. Family caregivers are welcome at Trinity, and we walk you through every AHCCCS rule that applies before your first shift.

Your paycheck runs on our payroll calendar, not on cell towers. If you did the work and documented it, you get paid on time. Period.

Where we serve

Three counties, one standard.

Our office sits on Highway 264 in Tse Bonito, right at the Arizona line by Window Rock. From there, our caregivers and vans serve ALTCS members across Apache, Navajo, and Coconino Counties, the Arizona side of the Navajo Nation, dirt roads included.

Our office Communities we serve Coconino County Navajo County Apache County Navajo Nation

Window RockFort DefianceSt. MichaelsGanadoChinleMany FarmsPinonKayentaMonument ValleyTuba CityCameronLeuppDilkon...and the chapters in between

Map is illustrative and boundaries are simplified. Not sure if we reach you? Call (505) 371-5808. We probably do.

Questions families ask us

Straight answers, no runaround.

Does ALTCS pay for home care? What will it cost my family?

Yes. The Arizona Long Term Care System covers attendant care, personal care, homemaker, and respite services for eligible members. Most members pay nothing out of pocket for covered in-home services; the ALTCS office will tell you if any share of cost applies in your situation. We help families through the application at no charge.

Can a family member get paid to care for me?

Often, yes. Many Trinity caregivers care for their own parent, spouse, or relative. We hire them, train them, and pay them like any other caregiver. AHCCCS sets special rules for family caregivers, including weekly hour limits for spouses and for parents of minor members, and we walk you through every one of them before care starts.

How fast can care start?

Our standard is start of care within 5 business days of authorization. If anything threatens that timeline, we tell you and your case manager on day one.

How do I know the caregiver in my home is safe?

Every Trinity caregiver passes criminal background checks at the state and federal level AND through the Navajo Nation, something most agencies skip, plus federal exclusion screening and Adult Protective Services and DCS registry checks, all before their first shift. Then they complete AHCCCS-required training and testing. Supervisors visit member homes in person on a set schedule, and every visit is electronically verified.

Do you serve my community?

We serve ALTCS members across Apache, Navajo, and Coconino Counties, the Arizona side of the Navajo Nation, including homes on dirt roads that other agencies turn down. Not sure if we reach you? Call. We probably do.

Do you provide rides to medical appointments?

For scheduled, long-distance stretcher trips, yes: hospital discharges and specialist visits, including Phoenix and Flagstaff, booked in advance and prior-authorized when required. We do not run daily local routes or standing dialysis schedules. If you need a wheelchair-accessible long-distance trip, call and ask; we take those case by case when we can staff them, and we will tell you straight either way.

Contact

Talk to a real person.

Phone(505) 371-5808

Fax(505) 371-5363

Emailinfo@trinityhomecaretransport.com

Office1608 State Hwy 264, Tse Bonito, NM 87301
On Highway 264 near Window Rock, just east of the Arizona line

MailingPO Box 94, Saint Michaels, AZ 86511

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For questions about care, please call us. To protect your privacy, do not send medical or personal health details by email or through the callback form.

Office hours

Monday to Friday	8:00 am to 5:00 pm
Saturday	Closed
Sunday	Closed

After hours, leave a message and we will return your call the next business day, or use the callback form below.

Browsing after hours?

Leave your number and we will call you back the next business day. No medical details here, please.