Trinity Pacific 5, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

299992887 Issued in FL

Legal business name

TRINITY PACIFIC 5, LLC

Practice address

28051 US Highway 19 N Ste 107
Clearwater, FL 33761-2642

Phone

(727) 295-9711

Fax

(727) 815-8040

NPI assigned

Dec 5, 2012

Organization subpart

No

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

Authorized official

Name

David McElwee

Title

Coo / Partner / Adminstrator

Phone

(727) 295-9711

Specialties & licenses 1

Addresses

Other names 1

• Providence Home Care of Florida Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Home health agency certification: CCN 109061

Legal name

TRINITY PACIFIC 5 LLC

Doing business as

PROVIDENCE HOME CARE OF FLORIDA

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 24, 2008

Last certification

Feb 4, 2015

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

May 9, 2012 in FL

Enrollment address

28051 US Highway 19 N
Ste 107
Clearwater, FL 33761-2642

Listed as

Providence Home Care of FloridaCCN 109061

Overall star rating

3 of 5

Ownership

Proprietary

Certified

Sep 24, 2008

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Natasha Nicole Llanes, MD

  • Neurology Physician
  • New Port Richey, FL
  • NPI 1679035620

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1354665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1356686166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 4TH ST N # 240",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337012322",
            "telephone_number": "727-295-9711",
            "fax_number": "727-815-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28051 US HIGHWAY 19 N STE 107",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612642",
            "telephone_number": "727-295-9711",
            "fax_number": "727-815-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY PACIFIC 5, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-05",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "MCELWEE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "COO / PARTNER / ADMINSTRATOR",
        "authorized_official_telephone_number": "727-295-9711"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299992887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence Home Care of Florida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jamie Denise Trettel, RDN
• Miguel E Trevino, MD PA
• Kabeer Trikkha, RBT
• Trillium Medical Group of Florida, Inc.
• Trim Nutrition Pharmacy
• Stanton P Tripodis, MD
• Alexandra Tripp, PA-C
• Heather Tripp, CST/CSFA
• Jamie Lee Tripp, ARNP
• Trish French, MSW, Cap, LCSW, Inc.

• Home Health Agency in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.