Active NPI
Trinity Nursing & Rehab Center Inc.
Doing business as AdventHealth Care Center Shawnee
- Skilled Nursing Facility
- Merriam, KS
National Provider Identifier
1235177312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- N046013
- Legal business name
- TRINITY NURSING & REHAB CENTER INC.
- Doing business as
- AdventHealth Care Center Shawnee
- Practice address
- 9700 W 62ND St
Merriam, KS 66203-3220 - Phone
- (913) 384-0800
- Fax
- (913) 384-0709
- NPI assigned
- Jun 2, 2006
- Last updated
- Nov 27, 2023
- 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
- David Rodman
- Title
- Assistant Secretary
- Phone
- (407) 975-3011
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | N046013 | KS | Primary |
Addresses
Primary practice location
9700 W 62ND St
Merriam, KS 66203-3220
Mailing address
900 Hope Way
Altamonte Springs, FL 32714-1502
Phone (407) 975-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200421540A | Medicaid | KS |
Other names 1
- AdventHealth Care Center Shawnee
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701043200000",
"number": "1235177312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 HOPE WAY",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327141502",
"telephone_number": "407-975-3000",
"fax_number": "407-975-3090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9700 W 62ND ST",
"city": "MERRIAM",
"state": "KS",
"postal_code": "662033220",
"telephone_number": "913-384-0800",
"fax_number": "913-384-0709"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRINITY NURSING & REHAB CENTER INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-02",
"last_updated": "2023-11-27",
"certification_date": "2023-11-27",
"status": "A",
"authorized_official_last_name": "RODMAN",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "ASSISTANT SECRETARY",
"authorized_official_telephone_number": "407-975-3011"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "KS",
"license": "N046013",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200421540A",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "AdventHealth Care Center Shawnee",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Merriam, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.