Active NPI
Trinity Home Care and Resource, Inc
- In Home Supportive Care Agency
- Boise, ID
National Provider Identifier
1205175759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- TRINITY HOME CARE AND RESOURCE, INC
- Practice address
- 5537A N Glenwood St
Boise, ID 83714-1336 - Phone
- (208) 938-1760
- Fax
- (208) 939-8275
- NPI assigned
- Feb 4, 2013
- 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
- Jackie Smith
- Title
- Partner/Board Member
- Phone
- (208) 938-1760
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
5537A N Glenwood St
Boise, ID 83714-1336
Mailing address
5537A N Glenwood St
Boise, ID 83714-1336
Phone (208) 938-1760
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A0000394 | Medicaid | ID |
National Provider Directory
National Provider DirectoryLocations
5537A N Glenwood St
Boise, ID 83714
Phone (208) 938-1760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359936000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1433808000000",
"number": "1205175759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5537A N GLENWOOD ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837141336",
"telephone_number": "208-938-1760",
"fax_number": "208-939-8275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5537A N GLENWOOD ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837141336",
"telephone_number": "208-938-1760",
"fax_number": "208-939-8275"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRINITY HOME CARE AND RESOURCE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-04",
"last_updated": "2015-06-09",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "JACKIE",
"authorized_official_title_or_position": "PARTNER/BOARD MEMBER",
"authorized_official_telephone_number": "208-938-1760"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "A0000394",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.