Trinity Community Living Inc

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

TRINITY COMMUNITY LIVING INC

Practice address

25 Gordon Rd
Middletown, NY 10941-3346

Phone

(646) 400-4562

NPI assigned

Oct 31, 2023

Last updated

Nov 1, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ejovwoke Riesa

Title

Executive Director

Phone

(646) 400-4562

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1477326585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 GORDON RD",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109413346",
            "telephone_number": "646-400-4562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 GORDON RD",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109413346",
            "telephone_number": "646-400-4562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY COMMUNITY LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "RIESA",
        "authorized_official_first_name": "EJOVWOKE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "646-400-4562"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Aaron Traub, MD
• Shanalynn Josefina Trent Powe, REGISTERED NURSE
• Erena Treskova, MD
• Tri State Eye Ophthalmology of Middletown PC
• Tri State Surgical Associates PLLC
• Ruth Tropeano, NP
• Mary Truesdel
• Chenhan Mike Tsai, DO
• Tsai-Lung Tsai, D.O.
• Xinjun Tu, O.M.D

• Respite Care in Middletown, NY
• Providers in Middletown, NY by specialty
• Respite Care in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.