Trinity Independent Home Care

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

TRINITY INDEPENDENT HOME CARE

Doing business as

Trinity Empowerment Corporation

Practice address

768 Ranch Rd
Clayton, NC 27520-6463

Phone

(919) 550-7039

Fax

(919) 550-7039

NPI assigned

Aug 15, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Mary Willistine

Title

Administrator/Owner

Phone

(919) 671-1061

Specialties & licenses 1

Addresses

Other names 1

• TRINITY EMPOWERMENT CORPORATION Doing business as

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

{
    "created_epoch": "1250294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250380800000",
    "number": "1467684084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "768 RANCH RD",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275206463",
            "telephone_number": "919-550-7039",
            "fax_number": "919-550-7039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "768 RANCH RD",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275206463",
            "telephone_number": "919-550-7039",
            "fax_number": "919-550-7039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY INDEPENDENT HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-15",
        "last_updated": "2009-08-16",
        "status": "A",
        "authorized_official_last_name": "WILLISTINE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "919-671-1061",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRINITY EMPOWERMENT CORPORATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Clayton, NC
• Providers in Clayton, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.