Trinity Center at Luther Park

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

License

770825 Issued in IA

Legal business name

TRINITY CENTER AT LUTHER PARK

Practice address

1555 Hull Ave
Des Moines, IA 50316-1341

Phone

(515) 262-5639

Fax

(515) 266-8302

NPI assigned

Nov 17, 2006

Organization subpart

No

Name

Ms. Lorrie Little

Title

Billing Office Manager

Phone

(515) 262-5639

Organizations that report the same tax identification number in the National Provider Directory.

• Trinity Center

  • Nursing Facility/Intermediate Care Facility
  • Des Moines, IA
  • NPI 1730174657
  NPD tax ID

Tax ID family

Trinity Center (2 organizations share this tax ID)

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215001995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 HULL AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503161341",
            "telephone_number": "515-262-5639",
            "fax_number": "515-266-8302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 HULL AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503161341",
            "telephone_number": "515-262-5639",
            "fax_number": "515-266-8302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY CENTER AT LUTHER PARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "LORRIE",
        "authorized_official_title_or_position": "BILLING OFFICE MANAGER",
        "authorized_official_telephone_number": "515-262-5639",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "IA",
            "license": "770825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0802306",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John T Triantafyllos, M.D.
• Susan Renee Tridle
• Megan Trimble, CTRS
• Steven Alan Trinder I, RPH
• Trinity Center
• Trinity Home Health Services
• Trinity Home Health Services
• Asit Kumar Tripathy, M.D
• Unknown Trisha Sunderajan, MD
• Aaron J Trotter, TCADC

• All providers in Des Moines, IA
• Alzheimer Center (Dementia Center) in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.