Organization Active NPI

Trinity House, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Greensboro, NC
National Provider Identifier
1164557278
Registry record updated Oct 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
MHL-041-805 Issued in NC
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

Updated by the provider on Oct 18, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6604144MedicaidNC

Other names 1

  • Trinity House, LLC Former legal business name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.