Organization Active NPI

Holy Trinity Centers LLC

  • Primary Care Clinic/Center
  • Riviera Beach, FL
National Provider Identifier
1386351393
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
HOLY TRINITY CENTERS LLC
Practice address
4152 W Blue Heron Blvd Ste 126
Riviera Beach, FL 33404-4859
Phone
(561) 713-7173
NPI assigned
Oct 31, 2022
Last updated
Nov 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Authorized official

Name
Christopher Led's Giscard Jerome, MDNPI 1508360967
Title
Cmo
Phone
(347) 455-7845

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
Health Service Clinic/Center 261QH0100X NU
Primary Care Clinic/Center 261QP2300X NU Primary
Urgent Care Clinic/Center 261QU0200X NU

Addresses

Primary practice location

4152 W Blue Heron Blvd Ste 126
Riviera Beach, FL 33404-4859

Mailing address

5598 Pebble Brook LN
Boynton Beach, FL 33472-2401

Other practice location 1

5598 Pebble Brook Ln
Boynton Beach, FL 33472-2401
Phone (347) 455-7845

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1386351393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5598 PEBBLE BROOK LN",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334722401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4152 W BLUE HERON BLVD STE 126",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334044859",
            "telephone_number": "561-713-7173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5598 Pebble Brook Ln",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334722401",
            "country_code": "US",
            "telephone_number": "347-455-7845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOLY TRINITY CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-31",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "JEROME",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "LED'S GISCARD",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "347-455-7845",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riviera Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.