NPIMap

Organization Active NPI

Trinity Integrated Care

  • Mental Illness Community Based Residential Treatment Facility
  • Phoenix, AZ
National Provider Identifier
1427644475
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
TRINITY INTEGRATED CARE
Practice address
4635 S 7TH St
Phoenix, AZ 85040-2219
Phone
(602) 388-4795
NPI assigned
Dec 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Authorized official

Name
Steve Agboola
Title
Administrator
Phone
(480) 589-6692

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

4635 S 7TH St
Phoenix, AZ 85040-2219

Mailing address

8767 E Via de Ventura Ste 170
Scottsdale, AZ 85258-3380
Phone (480) 589-6692

Other practice location 1

4637 S 7th St
Phoenix, AZ 85040-2219
Phone (602) 388-4795

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address liz@mosesbhcare.com

National Provider Directory

National Provider Directory
Tax ID family
Trinity Integrated Healthcare6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

4635 S 7th St
Phoenix, AZ 85040
Phone (602) 388-4795

8767 E Via de Ventura
Ste 170
Scottsdale, AZ 85258
Phone (844) 681-2273

NPI Registry JSON

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1427644475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8767 E VIA DE VENTURA STE 170",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583380",
            "telephone_number": "480-589-6692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4635 S 7TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850402219",
            "telephone_number": "602-388-4795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4637 S 7th St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850402219",
            "country_code": "US",
            "telephone_number": "602-388-4795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRINITY INTEGRATED CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-14",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "AGBOOLA",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-589-6692"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "liz@mosesbhcare.com",
            "affiliation": "N",
            "address_1": "4635 S 7th St",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850402219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.