NPIMap

Organization Active NPI

Trinity Health Services, Inc.

  • Nursing Care Agency
  • Washington, NC
National Provider Identifier
1407024086
Registry record updated Jul 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
HC 3035 Issued in NC
Legal business name
TRINITY HEALTH SERVICES, INC.
Practice address
409 W Main St
Suite 203
Washington, NC 27889-4882
Phone
(252) 946-4100
Fax
(252) 946-4121
NPI assigned
Feb 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2009

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

Authorized official

Name
Mrs. Regina Williams Harrell
Title
Director/Ceo
Phone
(919) 877-8633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X HC 3035 NC Primary

Addresses

Primary practice location

409 W Main St
Suite 203
Washington, NC 27889-4882

Mailing address

1008 Bullard CT
Suite 203
Raleigh, NC 27615-6833
Phone (919) 877-8633

Other identifiers 1

IdentifierTypeStateIssuer
6601759MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Trinity Health Services Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

409 W Main St
Ste 203
Washington, NC 27889
Phone (252) 946-4100

NPI Registry JSON

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246924800000",
    "number": "1407024086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 BULLARD CT",
            "address_2": "SUITE 203",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156833",
            "telephone_number": "919-877-8633",
            "fax_number": "919-877-8996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 W MAIN ST",
            "address_2": "SUITE 203",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278894882",
            "telephone_number": "252-946-4100",
            "fax_number": "252-946-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2009-07-07",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "WILLIAMS",
        "authorized_official_title_or_position": "DIRECTOR/CEO",
        "authorized_official_telephone_number": "919-877-8633",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NC",
            "license": "HC 3035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601759",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.