Organization Active NPI

Trinity Home Care and Resource, Inc

  • In Home Supportive Care Agency
  • Boise, ID
National Provider Identifier
1205175759
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Jun 9, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
A0000394MedicaidID

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.