Organization Active NPI

Trinity Force LLC

  • Non-emergency Medical Transport (VAN)
  • Phoenix, AZ
National Provider Identifier
1215380514
Registry record updated Nov 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
TRINITY FORCE LLC
Practice address
340 N 5TH Ave
Apt 506
Phoenix, AZ 85003-4507
Phone
(602) 284-6223
NPI assigned
Jul 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2016

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

Authorized official

Name
Mr. Shisema Asfaw Keraga
Title
Manager/Owner
Phone
(602) 284-6223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

340 N 5TH Ave
Apt 506
Phoenix, AZ 85003-4507

Mailing address

340 N 5TH Ave
Apt 506
Phoenix, AZ 85003-4507
Phone (602) 284-6223

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479600000000",
    "number": "1215380514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 N 5TH AVE",
            "address_2": "APT 506",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850034507",
            "telephone_number": "602-284-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 N 5TH AVE",
            "address_2": "APT 506",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850034507",
            "telephone_number": "602-284-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY FORCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-21",
        "last_updated": "2016-11-20",
        "status": "A",
        "authorized_official_last_name": "KERAGA",
        "authorized_official_first_name": "SHISEMA",
        "authorized_official_middle_name": "ASFAW",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "602-284-6223",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2016; 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.