Organization Active NPI

Trinity Independent Living Services LLC

  • Developmentally Disabled Services Day Training Agency
  • Baton Rouge, LA
National Provider Identifier
1265569370
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
10327 Issued in LA
Legal business name
TRINITY INDEPENDENT LIVING SERVICES LLC
Practice address
3009 Monterrey Dr Ste C
Baton Rouge, LA 70814-4022
Phone
(225) 928-0205
Fax
(225) 928-0209
NPI assigned
Feb 27, 2007
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
Mary Alcee
Title
Administrator
Phone
(225) 928-0205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 10327 LA Primary

Addresses

Primary practice location

3009 Monterrey Dr Ste C
Baton Rouge, LA 70814-4022

Mailing address

2113 Vickers Dr
Baton Rouge, LA 70815-2281
Phone (225) 272-8418

Other identifiers 1

IdentifierTypeStateIssuer
1169986MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Trinity Independent Living Services LLC2 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.

Locations

3009 Monterrey Dr
Ste C
Baton Rouge, LA 70814
Phone (225) 925-3412

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265569370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2113 VICKERS DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708152281",
            "telephone_number": "225-272-8418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 MONTERREY DR STE C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708144022",
            "telephone_number": "225-928-0205",
            "fax_number": "225-928-0209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY INDEPENDENT LIVING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALCEE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "225-928-0205"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "LA",
            "license": "10327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1169986",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

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.