Active NPI
Trinity House, Inc.
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Greensboro, NC
National Provider Identifier
1164557278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility
- License
- MHL-041-805
- Legal business name
- TRINITY HOUSE, INC.
- Practice address
- 1803 Lochwood Dr
Greensboro, NC 27406-8574 - Phone
- (336) 965-1305
- NPI assigned
- Feb 22, 2007
- 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
- Mrs. Yolande Harrison
- Title
- Director
- Phone
- (336) 965-1305
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | MHL-041-805 | NC | Primary |
Addresses
Primary practice location
1803 Lochwood Dr
Greensboro, NC 27406-8574
Mailing address
PO Box 78054
Greensboro, NC 27427-8054
Phone (336) 965-1305
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6604144 | Medicaid | NC |
Other names 1
- Trinity House, LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287360000000",
"number": "1164557278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 78054",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274278054",
"telephone_number": "336-965-1305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1803 LOCHWOOD DR",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274068574",
"telephone_number": "336-965-1305"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRINITY HOUSE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-22",
"last_updated": "2010-10-18",
"status": "A",
"authorized_official_last_name": "HARRISON",
"authorized_official_first_name": "YOLANDE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "336-965-1305",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": "NC",
"license": "MHL-041-805",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6604144",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Trinity House, LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.