Trinity Care Group, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

TRINITY CARE GROUP, LLC

Practice address

2555 Lincoln Highway
Suite 209
Olympia Fields, IL 60461-1939

Phone

(708) 748-4661

Fax

(708) 748-4667

NPI assigned

Apr 17, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Patrick Paul Udonkang

Title

President

Phone

(708) 748-4661

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423612800000",
    "number": "1356515522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 LINCOLN HIGHWAY",
            "address_2": "SUITE 209",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611939",
            "telephone_number": "708-748-4661",
            "fax_number": "708-748-4667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 LINCOLN HIGHWAY",
            "address_2": "SUITE 209",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611939",
            "telephone_number": "708-748-4661",
            "fax_number": "708-748-4667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY CARE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2015-02-11",
        "status": "A",
        "authorized_official_last_name": "UDONKANG",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-748-4661",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Olympia Fields, IL
• Providers in Olympia Fields, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; 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.