Organization Active NPI

Infusion Partners 360 Consulting Group, LLC

Doing business as Trinity Partners Home Health

  • Home Health Agency
  • Corona, CA
National Provider Identifier
1114534419
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
INFUSION PARTNERS 360 CONSULTING GROUP, LLC
Doing business as
Trinity Partners Home Health
Practice address
4254 Green River Rd
Corona, CA 92878-3869
Phone
(866) 941-0990
Fax
(866) 941-0990
NPI assigned
Sep 30, 2020
Last updated
Sep 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Authorized official

Name
Kenya Mills-Blane
Title
Owner
Phone
(310) 919-7013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4254 Green River Rd
Corona, CA 92878-3869

Mailing address

4254 Green River Rd
Corona, CA 92878-3869
Phone (866) 941-0990

Other names 1

  • Trinity Partners Home Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230217000121 CA Part A Provider - Home Health Agency 0941613616 Practice locations: Corona, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114534419. Details of each certification follow.

Home health agency certification: CCN 758173

Legal name
INFUSION PARTNERS 360, CONSULTING GROUP LLC
Doing business as
TRINITY PARTNERS HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 26, 2025
Last certification
Jun 13, 2025
Organization structure
LLCProprietary
Incorporated
Apr 23, 2020 in CA
Enrollment address
4254 Green River Rd
Corona, CA 92878-3869
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Trinity Partners Home HealthCCN 758173 · All quality measures
Ownership
-
Certified
Jun 26, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

4254 Green River Rd
Corona, CA 92878
Phone (866) 936-0550

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kenya Mills Individual 5% Or Greater Direct Ownership InterestPresident Apr 23, 2020 60%
Corporate DirectorPresident Apr 23, 2020 60%
W-2 Managing EmployeePresident Apr 23, 2020 60%
Nicole Lawrence Individual 5% Or Greater Direct Ownership InterestVice President Apr 23, 2020 40%
Corporate DirectorVice President Apr 23, 2020 40%
W-2 Managing EmployeeVice President Apr 23, 2020 40%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1114534419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4254 GREEN RIVER RD",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928783869",
            "telephone_number": "866-941-0990",
            "fax_number": "866-941-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4254 GREEN RIVER RD",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928783869",
            "telephone_number": "866-941-0990",
            "fax_number": "866-941-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFUSION PARTNERS 360 CONSULTING GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-30",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "MILLS-BLANE",
        "authorized_official_first_name": "KENYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-919-7013"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Partners Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.