NPIMap

Organization Active NPI

Trinity Haven Healthcare Center, Inc.

  • Skilled Nursing Facility
  • Midland, TX
National Provider Identifier
1003913773
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
004280 Issued in TX
Legal business name
TRINITY HAVEN HEALTHCARE CENTER, INC.
Practice address
3203 Sage St
Midland, TX 79705-5711
Phone
(432) 683-5403
Fax
(432) 682-5105
NPI assigned
Sep 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Benjamin C Moncrief
Title
President
Phone
(432) 683-5403

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 004280 TX Primary

Addresses

Primary practice location

3203 Sage St
Midland, TX 79705-5711

Mailing address

3203 Sage St
Midland, TX 79705-5711
Phone (432) 683-5403

Other names 1

  • Trinity Haven of Midland Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003913773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3203 SAGE ST",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797055711",
            "telephone_number": "432-683-5403",
            "fax_number": "432-682-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3203 SAGE ST",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797055711",
            "telephone_number": "432-683-5403",
            "fax_number": "432-682-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY HAVEN HEALTHCARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MONCRIEF",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "432-683-5403",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "004280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Haven of Midland",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Midland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.