Organization Active NPI

Trinity Home Care LLC

  • In Home Supportive Care Agency
  • Palm Bay, FL
National Provider Identifier
1295309722
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
TRINITY HOME CARE LLC
Practice address
4630 Lipscomb St NE
Palm Bay, FL 32905-2940
Phone
(321) 327-5020
NPI assigned
May 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rose Eliphar
Title
Owner
Phone
(321) 327-5020

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X

Addresses

Primary practice location

4630 Lipscomb St NE
Palm Bay, FL 32905-2940

Mailing address

4630 Lipscomb St NE
Palm Bay, FL 32905-2940
Phone (321) 327-5020

National Provider Directory

National Provider Directory

Locations

4630 Lipscomb St NE
Palm Bay, FL 32905
Phone (321) 327-5020

NPI Registry JSON

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1295309722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4630 LIPSCOMB ST NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329052940",
            "telephone_number": "321-327-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 LIPSCOMB ST NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329052940",
            "telephone_number": "321-327-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "ELIPHAR",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-327-5020"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.