Trinity Family Support LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

AP00943974 Issued in WV

Legal business name

TRINITY FAMILY SUPPORT LLC

Practice address

3744 Teays Valley Rd
Suite 210
Hurricane, WV 25526-8755

Phone

(304) 419-4100

NPI assigned

Dec 2, 2015

Organization subpart

No

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

Authorized official

Name

Mikki Owens, LSWNPI 1699137190

Title

President

Phone

(304) 419-4100

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mikki Owens

  • Social Worker
  • Hurricane, WV
  • NPI 1699137190
  NPD (past) Authorized official

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

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449014400000",
    "number": "1154796134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3744 TEAYS VALLEY RD",
            "address_2": "SUITE 210",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255268755",
            "telephone_number": "304-419-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3744 TEAYS VALLEY RD",
            "address_2": "SUITE 210",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255268755",
            "telephone_number": "304-419-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY FAMILY SUPPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-02",
        "last_updated": "2015-12-02",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "MIKKI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-419-4100",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WV",
            "license": "AP00943974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Hurricane, WV
• Providers in Hurricane, WV by specialty
• Case Management Agency in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; 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.