Organization Active NPI

Trinity Nursing & Rehab Center Inc.

Doing business as AdventHealth Care Center Shawnee

  • Skilled Nursing Facility
  • Merriam, KS
National Provider Identifier
1235177312
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
N046013 Issued in KS
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200421540AMedicaidKS

Other names 1

  • AdventHealth Care Center Shawnee Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.