Active NPI
Trinor Wellness LLC
- Nursing Home Administrator
- Avondale, AZ
National Provider Identifier
1124740162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Home Administrator
- Legal business name
- TRINOR WELLNESS LLC
- Practice address
- 11570 W Parkway LN
Avondale, AZ 85323-5241 - Phone
- (480) 636-0420
- NPI assigned
- Sep 15, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adaeze Rachael Ibeh
- Title
- Director/Ceo
- Phone
- (480) 636-0420
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Home Administrator | 376G00000X | Primary |
Addresses
Primary practice location
11570 W Parkway LN
Avondale, AZ 85323-5241
Mailing address
3600 W Dublin St
Chandler, AZ 85226-5911
Phone (480) 636-0420
Other names 1
- Trinor Wellness LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663200000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663200000000",
"number": "1124740162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 W DUBLIN ST",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852265911",
"telephone_number": "480-636-0420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11570 W PARKWAY LN",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853235241",
"telephone_number": "480-636-0420"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRINOR WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-15",
"last_updated": "2022-09-15",
"certification_date": "2022-09-15",
"status": "A",
"authorized_official_last_name": "IBEH",
"authorized_official_first_name": "ADAEZE",
"authorized_official_middle_name": "RACHAEL",
"authorized_official_title_or_position": "DIRECTOR/CEO",
"authorized_official_telephone_number": "480-636-0420"
},
"taxonomies": [
{
"code": "376G00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nursing Home Administrator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Trinor Wellness LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Avondale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.