Active NPI
Trinity III, Inc
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Shelby, NC
National Provider Identifier
1194968628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- License
- MHL023088
- Legal business name
- TRINITY III, INC
- Practice address
- 716 West Graham Street
Shelby, NC 28150 - Phone
- (704) 482-0901
- NPI assigned
- Apr 14, 2009
- 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
- Gwen Fox
- Title
- President
- Phone
- (704) 482-0901
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | MHL023088 | NC | Primary |
Addresses
Primary practice location
716 West Graham Street
Shelby, NC 28150
Mailing address
PO Box 477
Shelby, NC 28150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6603223 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Trinity III Inc
Other organizations with this tax ID 7
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Shelby, NC
- NPI 1003064932
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Shelby, NC
- NPI 1609022144
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Shelby, NC
- NPI 1497819668
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Shelby, NC
- NPI 1245495621
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Shelby, NC
- NPI 1386887693
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Shelby, NC
- NPI 1447315833
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Shelby, NC
- NPI 1922241454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239667200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1239667200000",
"number": "1194968628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 477",
"city": "SHELBY",
"state": "NC",
"postal_code": "28150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "716 WEST GRAHAM STREET",
"city": "SHELBY",
"state": "NC",
"postal_code": "28150",
"telephone_number": "704-482-0901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRINITY III, INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-14",
"last_updated": "2009-04-14",
"status": "A",
"authorized_official_last_name": "FOX",
"authorized_official_first_name": "GWEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "704-482-0901"
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NC",
"license": "MHL023088",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6603223",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shelby, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.