Active NPI
Holy Trinity Family Support Center Corporation
- Administrator Registered Nurse
- Baltimore, MD
National Provider Identifier
1184299596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Administrator Registered Nurse
- Legal business name
- HOLY TRINITY FAMILY SUPPORT CENTER CORPORATION
- Practice address
- 300 E Lombard St Ste 840
Baltimore, MD 21202-3231 - Phone
- (877) 828-8419
- NPI assigned
- May 26, 2021
- 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
- Ebelechukwu Elochukwu
- Title
- Founder/Ceo
- Phone
- (240) 766-6823
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Administrator Registered Nurse | 163WA2000X | Primary | ||
| Case Management Agency | 251B00000X | |||
| Home Health Agency | 251E00000X | |||
| Home Infusion Agency | 251F00000X | |||
| Nursing Care Agency | 251J00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Rehabilitation Hospital Unit | 273Y00000X | |||
| Health Maintenance Organization | 302R00000X | |||
| Pediatric Skilled Nursing Facility | 3140N1450X |
Addresses
Primary practice location
300 E Lombard St Ste 840
Baltimore, MD 21202-3231
Mailing address
PO Box 19616
Baltimore, MD 21225-0616
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pastoral Counselor
- Baltimore, MD
- NPI 1174198790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621987200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735257600000",
"number": "1184299596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19616",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212250616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 E LOMBARD ST STE 840",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212023231",
"telephone_number": "877-828-8419"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLY TRINITY FAMILY SUPPORT CENTER CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-26",
"last_updated": "2024-12-27",
"certification_date": "2024-12-27",
"status": "A",
"authorized_official_last_name": "ELOCHUKWU",
"authorized_official_first_name": "EBELECHUKWU",
"authorized_official_title_or_position": "FOUNDER/CEO",
"authorized_official_telephone_number": "240-766-6823"
},
"taxonomies": [
{
"code": "163WA2000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Administrator",
"state": null,
"license": null,
"primary": true
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "273Y00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Unit",
"state": null,
"license": null,
"primary": false
},
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": null,
"license": null,
"primary": false
},
{
"code": "3140N1450X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.