NPIMap

Organization Active NPI

Trinity Services Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Joliet, IL
National Provider Identifier
1104095736
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
TRINITY SERVICES INC.
Practice address
3302 Horseshoe LN
Joliet, IL 60432-9644
Phone
(815) 485-0487
NPI assigned
Feb 28, 2008
Organization subpart
Yes
Parent organization
TRINITY SERVICES INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 20, 2020

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

Authorized official

Name
Bob Taylor
Title
Cfo
Phone
(815) 320-7190

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Intellectual Disabilities Intermediate Care Facility 315P00000X IL Primary

Addresses

Primary practice location

3302 Horseshoe LN
Joliet, IL 60432-9644

Mailing address

301 Veterans Pkwy
New Lenox, IL 60451-2899
Phone (815) 485-6197

Other names 1

  • Trinity Living Center #2 Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 14G258

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
TRINITY LIVING CENTER #2
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Jan 28, 1991
Last certification
Nov 17, 2024
Beds
16
Ownership / control type
Private (non-profit)
Most recent change of ownership
Aug 14, 2014
Facility address
3302 Horseshoe Lane
Joliet, IL 60432

National Provider Directory

National Provider Directory
Tax ID family
Trinity Services Inc45 organizations share this tax ID, including this one
Part of
Trinity Services Inc

Other organizations with this tax ID 44

Organizations that report the same tax identification number in the National Provider Directory.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589932800000",
    "number": "1104095736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 VETERANS PKWY",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604512899",
            "telephone_number": "815-485-6197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3302 HORSESHOE LN",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604329644",
            "telephone_number": "815-485-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY SERVICES INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRINITY SERVICES INC.",
        "enumeration_date": "2008-02-28",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "815-320-7190"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Living Center #2",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Trinity Living Center #2",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.