Active NPI
Trinity Manor of Kinston
- Health Service Clinic/Center
- Kinston, NC
National Provider Identifier
1285818765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- HAL054003
- Legal business name
- TRINITY MANOR OF KINSTON
- Practice address
- 1406 E Shine St
Kinston, NC 28501-5836 - Phone
- (252) 527-0438
- NPI assigned
- Dec 20, 2007
- 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
- Mr. Robert C. Boone
- Title
- Owner
- Phone
- (252) 527-0438
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | HAL054003 | NC | Primary |
Addresses
Primary practice location
1406 E Shine St
Kinston, NC 28501-5836
Mailing address
1406 E Shine St
Kinston, NC 28501-5836
Phone (252) 527-0438
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7801483 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
1406 E Shine St
Kinston, NC 28501
Phone (252) 527-0438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1198108800000",
"number": "1285818765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1406 E SHINE ST",
"city": "KINSTON",
"state": "NC",
"postal_code": "285015836",
"telephone_number": "252-527-0438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1406 E SHINE ST",
"city": "KINSTON",
"state": "NC",
"postal_code": "285015836",
"telephone_number": "252-527-0438"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRINITY MANOR OF KINSTON",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-20",
"last_updated": "2007-12-20",
"status": "A",
"authorized_official_last_name": "BOONE",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "252-527-0438",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "NC",
"license": "HAL054003",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7801483",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kinston, NC
- Carnella Tilghman, CNA 2, BLS PROVIDER,
- Johnnie Belinda Tilley, MA, LPCA
- Transforming Perspectives Therapy Services PLLC
- Trayvon'S Exclusive Lines LLC.
- Trinity Manor Inc.
- Sandy Blizzard Tripp, DNP, FNP, CS
- True Vine Family Development Center,Inc.
- Latonya Tucker
- Danielle Catherine Tuminello, PA-C
- Jessica Farmer Turner, FNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.