NPIMap

Organization Active NPI

Trinity Care Xyz

  • Physical Disabilities Residential Treatment Facility
  • Edison, NJ
National Provider Identifier
1386182152
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
License
HP0250900 Issued in NJ
Legal business name
TRINITY CARE XYZ
Practice address
32 Carnwath CT
Edison, NJ 08817-1941
Phone
(718) 496-5778
Fax
(973) 388-7168
NPI assigned
Feb 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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

Authorized official

Name
Mr. Eugene Obiri-YeboahNPI 1629436191
Title
Executive Director
Phone
(718) 496-5778

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HP0250900 NJ
Physical Disabilities Residential Treatment Facility 320700000X HP0250900 NJ Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X HP0250900 NJ

Addresses

Primary practice location

32 Carnwath CT
Edison, NJ 08817-1941

Mailing address

32 Carnwath CT
Edison, NJ 08817-1941
Phone (718) 496-5778

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485907200000",
    "number": "1386182152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 CARNWATH CT",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088171941",
            "telephone_number": "718-496-5778",
            "fax_number": "973-388-7168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 CARNWATH CT",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088171941",
            "telephone_number": "718-496-5778",
            "fax_number": "973-388-7168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY CARE XYZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-01",
        "last_updated": "2017-02-01",
        "status": "A",
        "authorized_official_last_name": "OBIRI-YEBOAH",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "718-496-5778",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "HP0250900",
            "primary": false
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "NJ",
            "license": "HP0250900",
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": "HP0250900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; 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.