Organization Active NPI

Trinity Community Coalition Outreach

  • Substance Abuse Rehabilitation Facility
  • Memphis, TN
National Provider Identifier
1437641941
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
20843 Issued in TN
Legal business name
TRINITY COMMUNITY COALITION OUTREACH
Practice address
4466 Elvis Presley Blvd Ste 260
Memphis, TN 38116
Phone
(901) 729-7180
NPI assigned
May 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

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

Authorized official

Name
Mrs. Linda Segrest
Title
Executive Director
Phone
(901) 281-7480

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 20843 TN
Substance Abuse Rehabilitation Facility 324500000X 20843 TN Primary

Addresses

Primary practice location

4466 Elvis Presley Blvd Ste 260
Memphis, TN 38116

Mailing address

4466 Elvis Presley Blvd Ste 260
Memphis, TN 38116-7132
Phone (901) 729-7180

National Provider Directory

National Provider Directory

Locations

4466 Elvis Presley Blvd
Ste 260
Memphis, TN 38116
Phone (901) 299-2816

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528329600000",
    "number": "1437641941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4466 ELVIS PRESLEY BLVD STE 260",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381167132",
            "telephone_number": "901-729-7180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4466 ELVIS PRESLEY BLVD STE 260",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38116",
            "telephone_number": "901-729-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY COMMUNITY COALITION OUTREACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-06-07",
        "status": "A",
        "authorized_official_last_name": "SEGREST",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "901-281-7480",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "TN",
            "license": "20843",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "TN",
            "license": "20843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.