NPIMap

Organization Active NPI

Trinity Behavioral Health Services LLC

  • Assisted Living Facility (Behavioral Disturbances)
  • Chandler, AZ
National Provider Identifier
1467167981
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
Legal business name
TRINITY BEHAVIORAL HEALTH SERVICES LLC
Practice address
2841 E Tyson St
Chandler, AZ 85225-4244
Phone
(240) 481-2808
NPI assigned
Jan 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Authorized official

Name
Fon EmbolaNPI 1366102352
Title
Owner
Phone
(240) 481-2808

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
Assisted Living Facility (Behavioral Disturbances) 3104A0630X Primary

Addresses

Primary practice location

2841 E Tyson St
Chandler, AZ 85225-4244

Mailing address

2841 E Tyson St
Chandler, AZ 85225-4244

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Laptop
CONNECT URL Laptop

National Provider Directory

National Provider Directory
Tax ID family
Trinity2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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": "1674086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674086400000",
    "number": "1467167981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2841 E TYSON ST",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852254244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2841 E TYSON ST",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852254244",
            "telephone_number": "240-481-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "EMBOLA",
        "authorized_official_first_name": "FON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-481-2808"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "address_1": "2841 E Tyson St",
            "city": "Chandler",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852254244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "address_1": "2841 E Tyson St",
            "city": "Chandler",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852254244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.