Organization Active NPI

Trinity Services LLC

  • Community/Behavioral Health Agency
  • Rockingham, NC
National Provider Identifier
1184960775
Registry record updated Dec 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
077073 Issued in NC
Legal business name
TRINITY SERVICES LLC
Practice address
415 Hood St
Rockingham, NC 28379-3831
Phone
(910) 895-6270
Fax
(888) 622-5121
NPI assigned
Dec 31, 2012
Last updated
Dec 31, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2012

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

Authorized official

Name
William Lavon McDonald
Title
Program Development
Phone
(910) 895-6270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 077073 NC Primary

Addresses

Primary practice location

415 Hood St
Rockingham, NC 28379-3831

Mailing address

415 Hood St
Rockingham, NC 28379-3831
Phone (910) 895-6270

Other identifiers 4

IdentifierTypeStateIssuer
1346486412MedicaidNC
6008028MedicaidNC
5915266MedicaidNC
8302679MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Trinity Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

415 Hood St
Rockingham, NC 28379
Phone (910) 895-6270

NPI Registry JSON

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

{
    "created_epoch": "1356912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356912000000",
    "number": "1184960775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 HOOD ST",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283793831",
            "telephone_number": "910-895-6270",
            "fax_number": "888-622-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 HOOD ST",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283793831",
            "telephone_number": "910-895-6270",
            "fax_number": "888-622-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-31",
        "last_updated": "2012-12-31",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "LAVON",
        "authorized_official_title_or_position": "PROGRAM DEVELOPMENT",
        "authorized_official_telephone_number": "910-895-6270"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "077073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346486412",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6008028",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5915266",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302679",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockingham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2012; 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.