Organization Active NPI

Trinity Whole Health Care Services LLC

  • Family Medicine Physician
  • Eldersburg, MD
National Provider Identifier
1447977806
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TRINITY WHOLE HEALTH CARE SERVICES LLC
Practice address
2006 Stillwater Rd
Eldersburg, MD 21784-6633
Phone
(410) 725-5643
NPI assigned
Oct 25, 2022
Last updated
Oct 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Authorized official

Name
Cordilia Njoku, FNPNPI 1154914869
Title
Nurse Practitioner
Phone
(443) 629-1704

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

2006 Stillwater Rd
Eldersburg, MD 21784-6633

Mailing address

2006 Stillwater Rd
Eldersburg, MD 21784-6633
Phone (410) 725-5643

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL url Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221130002730 MD Part B Supplier - Clinic/Group Practice 7113395898 Receives reassigned benefits from 1 practitioner
Practice locations: Sykesville, MD

National Provider Directory

National Provider Directory
Tax ID family
Trinity Whole Health Care Services LLC4 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

6314 Windsor Mill Rd
Ste 305
Gwynn Oak, MD 21207

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1447977806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 STILLWATER RD",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846633",
            "telephone_number": "410-725-5643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 STILLWATER RD",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846633",
            "telephone_number": "410-725-5643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY WHOLE HEALTH CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "NJOKU",
        "authorized_official_first_name": "CORDILIA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "443-629-1704",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "url",
            "affiliation": "N",
            "endpointDescription": "url",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "url",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2006 Stillwater Rd",
            "city": "Eldersburg",
            "state": "MD",
            "country_code": "US",
            "postal_code": "217846633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eldersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.