Active NPI
Holy Trinity Centers LLC
- Primary Care Clinic/Center
- Riviera Beach, FL
National Provider Identifier
1386351393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher Led's Giscard Jerome, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Internal Medicine Physician
- Riviera Beach, FL
- NPI 1508360967
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.