NPIMap

Organization Active NPI

Trinity Center at Luther Park

  • Alzheimer Center (Dementia Center)
  • Des Moines, IA
National Provider Identifier
1215001995
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
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
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Lorrie Little
Title
Billing Office Manager
Phone
(515) 262-5639

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X 770825 IA Primary

Addresses

Primary practice location

1555 Hull Ave
Des Moines, IA 50316-1341

Mailing address

1555 Hull Ave
Des Moines, IA 50316-1341
Phone (515) 262-5639

National Provider Directory

National Provider Directory
Tax ID family
Trinity Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • 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.