NPIMap

Organization Active NPI

Intrust Health Care

  • Durable Medical Equipment & Medical Supplies
  • Triangle, VA
National Provider Identifier
1124117148
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
06L21742 Issued in VA
Legal business name
INTRUST HEALTH CARE
Practice address
19050 Fuller Heights Rd
Apt 312
Triangle, VA 22172-2100
Phone
(850) 345-8724
NPI assigned
Oct 11, 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
Adler Etienne
Title
Owner
Phone
(866) 219-9773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 06L21742 VA Primary

Addresses

Primary practice location

19050 Fuller Heights Rd
Apt 312
Triangle, VA 22172-2100

Mailing address

19050 Fuller Heights Rd
Apt 312
Triangle, VA 22172-2100
Phone (850) 345-8724

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124117148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19050 FULLER HEIGHTS RD",
            "address_2": "APT 312",
            "city": "TRIANGLE",
            "state": "VA",
            "postal_code": "221722100",
            "telephone_number": "850-345-8724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19050 FULLER HEIGHTS RD",
            "address_2": "APT 312",
            "city": "TRIANGLE",
            "state": "VA",
            "postal_code": "221722100",
            "telephone_number": "850-345-8724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTRUST HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ETIENNE",
        "authorized_official_first_name": "ADLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "866-219-9773"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "06L21742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Triangle, VA

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.