Organization Active NPI

FHJ Manor LLC

Doing business as The Trinity

  • Assisted Living Facility
  • Bakersfield, CA
National Provider Identifier
1194579805
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
FHJ MANOR LLC
Doing business as
The Trinity
Practice address
200 Trinity Ave
Bakersfield, CA 93307-3628
Phone
(661) 563-1761
NPI assigned
Apr 17, 2024
Organization subpart
Yes
Parent organization
FHJ MANOR LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Authorized official

Name
Jethronel Lazaga, LICENSED VOCATIONAL
Title
Administrator
Phone
(661) 563-1761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

200 Trinity Ave
Bakersfield, CA 93307-3628

Mailing address

4430 Diamond Rock CT
Bakersfield, CA 93313-5497
Phone (661) 563-1761

Other names 1

  • THE TRINITY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
FHJ Manor LLC2 organizations share this tax ID, including this one
Part of
FHJ Manor LLC

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1194579805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4430 DIAMOND ROCK CT",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933135497",
            "telephone_number": "661-563-1761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 TRINITY AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933073628",
            "telephone_number": "661-563-1761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FHJ MANOR LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FHJ MANOR LLC",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "LAZAGA",
        "authorized_official_first_name": "JETHRONEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "661-563-1761",
        "authorized_official_credential": "LICENSED VOCATIONAL"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE TRINITY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.