Organization Active NPI

Holy Trinity Family Support Center Corporation

  • Administrator Registered Nurse
  • Baltimore, MD
National Provider Identifier
1184299596
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
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

Updated by the provider on Dec 27, 2024

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

Authorized official

Name
Ebelechukwu ElochukwuNPI 1174198790
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)CodeLicenseStatePrimary
Administrator Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

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

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.

Verify at the official NPI Registry.