Trinity Adult Care Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

TRINITY ADULT CARE HOME

Practice address

681 Smith Rd
Maysville, NC 28555-9121

Phone

(910) 346-8649

NPI assigned

Aug 12, 2008

Last updated

Aug 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Delores Perry

Title

Facility Director/Owner

Phone

(910) 346-8649

Specialties & licenses 1

Addresses

Tax ID family

Open Door MGMT Agency of Jacksonville2 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.

• Open Door MGMT Agency of Jacksonville

  • Community/Behavioral Health Agency
  • Jacksonville, NC
  • NPI 1326193186
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Earnest Andrew Perry Sr.

  • Specialist
  • Jacksonville, NC
  • NPI 1861612806
  NPD (past)

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1205082187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "896 LYNCHBURG DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466010",
            "telephone_number": "910-346-8649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 SMITH RD",
            "city": "MAYSVILLE",
            "state": "NC",
            "postal_code": "285559121",
            "telephone_number": "910-346-8649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY ADULT CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "DELORES",
        "authorized_official_title_or_position": "FACILITY DIRECTOR/OWNER",
        "authorized_official_telephone_number": "910-346-8649",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pearls Family Care Home #1
• Quality Care Behavioral Health Services
• Rayven Michele Sims
• Sue a. Minneman-Fowler, DDS, PLLC
• Sunshine for Life LLC
• Alaina Christine Weddle, RD
• Christina Marie Williams, MS CCC-SLP
• Wilson's Home Care Agency, Inc.

• Adult Care Home Facility in Maysville, NC
• Providers in Maysville, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.