Organization Active NPI

Trinity III, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Shelby, NC
National Provider Identifier
1386887693
Registry record updated Apr 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
MHL023043 Issued in NC
Legal business name
TRINITY III, INC.
Practice address
607 E Grover St
Shelby, NC 28150-4033
Phone
(704) 482-0901
NPI assigned
Apr 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2009

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

Authorized official

Name
Gwen Fox
Title
President
Phone
(704) 482-0901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X MHL023043 NC Primary

Addresses

Primary practice location

607 E Grover St
Shelby, NC 28150-4033

Mailing address

PO Box 477
Shelby, NC 28151-0477

Other identifiers 1

IdentifierTypeStateIssuer
6603222MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Trinity III Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

607 E Grover St
Shelby, NC 28150
Phone (704) 482-0901

NPI Registry JSON

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239840000000",
    "number": "1386887693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 477",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281510477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 E GROVER ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504033",
            "telephone_number": "704-482-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY III, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-16",
        "last_updated": "2009-04-16",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "GWEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-482-0901"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL023043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603222",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; 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.