Organization Active NPI

Arbor Trinity Home Health LLC

  • Home Health Agency
  • Arlington, TX
National Provider Identifier
1477885408
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ARBOR TRINITY HOME HEALTH LLC
Doing business as
ARBOR TRINITY HOME HEALTH LLC
Practice address
700 Highlander Blvd Ste 410
Arlington, TX 76015-4329
Phone
(214) 872-2733
Fax
(214) 872-2703
NPI assigned
Feb 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Authorized official

Name
Jeneffer Nolasco
Title
VP/Operations Manager
Phone
(214) 872-2733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

700 Highlander Blvd Ste 410
Arlington, TX 76015-4329

Mailing address

700 Highlander Blvd Ste 410
Arlington, TX 76015-4329
Phone (214) 872-2733

Other names 1

  • ARBOR TRINITY HOME HEALTH LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101029000745 TX Part A Provider - Home Health Agency 6406040898 Practice locations: Arlington, TX

Home health agency certification: CCN 747624

Legal name
ARBOR TRINITY HOME HEALTH, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 8, 2011
Last certification
Aug 6, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
1301 S Bowen Rd
Ste 305
Arlington, TX 76013-2263

Care Compare: Home health agency

Medicare Care Compare
Listed as
Arbor Trinity Home Health, LLCCCN 747624 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Aug 8, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2004003Arbor Trinity Home Health, LLC1301 South Bowen Rd Ste 305, Arlington, TX 76013Certificate of waiverFeb 22, 2028

National Provider Directory

National Provider Directory

Locations

700 Highlander Blvd
Ste 410
Arlington, TX 76015
Phone (214) 872-2733

2625 W Pioneer Pkwy
Ste 803
Grand Prairie, TX 75051
Phone (214) 316-5662

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jeneffer Nolasco Individual Corporate OfficerOperations Manager Dec 16, 2014
Darwin Nolasco Individual 5% Or Greater Direct Ownership Interest Jun 22, 2017 99%
W-2 Managing EmployeeAdministrator Jul 24, 2017
Carmen Moreira Individual W-2 Managing EmployeeAlt Admin Jan 7, 2021
Arbor Trinity Home Health, LLC Organization, Arlington, TX LLC 5% Or Greater Direct Ownership Interest Dec 16, 2014
Operational/Managerial Control Dec 16, 2014
Edelyn Endicott Individual W-2 Managing EmployeeSupervising Nurse (Don) Nov 6, 2020

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1477885408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 HIGHLANDER BLVD STE 410",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760154329",
            "telephone_number": "214-872-2733",
            "fax_number": "214-872-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 HIGHLANDER BLVD STE 410",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760154329",
            "telephone_number": "214-872-2733",
            "fax_number": "214-872-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBOR TRINITY HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-01",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "NOLASCO",
        "authorized_official_first_name": "JENEFFER",
        "authorized_official_title_or_position": "VP/OPERATIONS MANAGER",
        "authorized_official_telephone_number": "214-872-2733"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARBOR TRINITY HOME HEALTH LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ARBOR TRINITY HOME HEALTH LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.