Organization Active NPI

Trinity Assistant Home Care

  • Nursing Care Agency
  • Surfside Beach, SC
National Provider Identifier
1205095379
Registry record updated Jun 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
TRINITY ASSISTANT HOME CARE
Practice address
8830 Cloister Dr Apt B
Surfside Beach, SC 29575-4893
Phone
(843) 340-1619
NPI assigned
Jun 4, 2008
Last updated
Jun 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2008

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

Authorized official

Name
Ms. Connie N Blocker
Title
Aid
Phone
(843) 340-1619

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU
Nursing Care Agency 251J00000X NU Primary

Addresses

Primary practice location

8830 Cloister Dr Apt B
Surfside Beach, SC 29575-4893

Mailing address

8830 Cloister Dr Apt B
Surfside Beach, SC 29575-4893
Phone (843) 340-1619

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212537600000",
    "number": "1205095379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8830 CLOISTER DR APT B",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295754893",
            "telephone_number": "843-340-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8830 CLOISTER DR APT B",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295754893",
            "telephone_number": "843-340-1619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY ASSISTANT HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-04",
        "last_updated": "2008-06-04",
        "status": "A",
        "authorized_official_last_name": "BLOCKER",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "AID",
        "authorized_official_telephone_number": "843-340-1619",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surfside Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.