Active NPI
Trinity Independent Living Services LLC
- Developmentally Disabled Services Day Training Agency
- Baton Rouge, LA
National Provider Identifier
1265569370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- License
- 10327
- 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, 2020
- 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
- Mary Alcee
- Title
- Administrator
- Phone
- (225) 928-0205
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1169986 | Medicaid | LA |
National Provider Directory
National Provider Directory- Tax ID family
- Trinity Independent Living Services LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Developmentally Disabled Services Day Training Agency
- Baton Rouge, LA
- NPI 1053436444
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
- Alaijha Brenae Trim
- Melinda Kay Trim, CIT
- Khanh Nghi Trinh, O.D.
- Trinity Hospice of Baton Rouge, LLC
- Trinity Independent Living Services LLC
- Kevin J Tripeaux, LCSW
- Triple a Transport LLC (Triple A Transport)
- Triple Star Medical Supplies L.L.C.
- Jannaiah C Tripuraneni, M.D.
- Marvin Marcus Trotter, D.P.M.
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.