Organization Active NPI

Trinity Manor Inc.

  • Assisted Living Facility
  • Kinston, NC
National Provider Identifier
1205167137
Registry record updated Jan 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
HAL-054-064 Issued in NC
Legal business name
TRINITY MANOR INC.
Practice address
1406 E Shine St
Kinston, NC 28501-5836
Phone
(252) 527-0438
Fax
(252) 527-0433
NPI assigned
Jan 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2010

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

Authorized official

Name
Mrs. Kuburat Abiodun Ganiyu
Title
President
Phone
(252) 527-0438

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HAL-054-064 NC Primary

Addresses

Primary practice location

1406 E Shine St
Kinston, NC 28501-5836

Mailing address

PO Box 2320
Kinston, NC 28502-2320
Phone (252) 527-0433

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263513600000",
    "number": "1205167137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2320",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285022320",
            "telephone_number": "252-527-0433",
            "fax_number": "252-527-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 E SHINE ST",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285015836",
            "telephone_number": "252-527-0438",
            "fax_number": "252-527-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY MANOR INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-15",
        "last_updated": "2010-01-15",
        "status": "A",
        "authorized_official_last_name": "GANIYU",
        "authorized_official_first_name": "KUBURAT",
        "authorized_official_middle_name": "ABIODUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-527-0438",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-054-064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kinston, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; 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.